Analysis Of Short-term Outcomes Of Laparoscopic-assisted And Hand-assisted Laparoscopic Rectal Cancer Resection

Objective To find differences and similarities between hand-assistedlaparoscopic radical surgery for rectal cancer and laparoscopic-assisted rectal cancerradical surgery, from safety and feasibility of surgery, effect of tumor radical,postoperative complications and short-term postoperative recovery, et al. Then toassess surgical safety and feasibility, effect of tumor radical, postoperativecomplications of hand-assisted laparoscopic radical surgery for rectal cancer, andevaluate promotional value of this surgical approach at same time.Materials and MethodsClinical data of90rectal cancer patients who receivedhand-assisted laparoscopic radical surgery and100rectal cancer patients undergoinglaparoscopic-assisted radical surgery in theaffiliated tumor hospital of Zhengzhouuniversity from November2011to November2013were systematic reviewed andclinical analyzed. The clinical data such as safety and feasibility of surgery, effect of tumor radical, postoperative complications et al, were contrasted and analysed.Results （1）Operation time of hand-assisted laparoscopic radicalsurgery forrectal cancer was（106.0±26.0）min, operation time oflaparoscopic-assisted rectalcancer radical surgery was （117.0±34.5）min, which is statistically significant(P＜0.05).(2)Estimated blood loss of HALS group was （66.1±30.8）ml, is significantlyless than which of LA group(P＜0.05), estimated blood loss of LA group was （77.9±30.5）ml.(3)In HALS group,rectum distal edge distanceof high rectal cancer was（3.99±0.70）cm, whichof low rectal cancer was（2.77±0.23）cm; in LA group,rectum distal edge distance of high rectal cancer was（4.09±0.76） cm, which of lowrectal cancer was（2.73±0.21） cm, there was no statistically significantdifferencebetween the two groups (P＞0.05). Number of lymph node dissection of HALS groupwas （12.9±4.5）, which of LA group was （12.7±4.4）,there is no statisticallysignificant difference between the two groups(P＞0.05).(4) There is statisticallysignificantdifference betweenshort-term postoperative recovery ofHALS and LAgroup,but no statistically significantdifference in postoperative complications of twogroups.Conclusions（1）Hand-assisted laparoscopic rectal cancer surgery safer thanlaparoscopic-assisted rectal cancer surgery.(2) Hand-assisted laparoscopic rectalcancer surgery and laparoscopic-assisted rectal cancer surgery is consistent in radicaltumor effect.(3) Laparoscopic-assisted rectal cancer surgery is superior tolaparoscopic-assisted surgery in rectal cancer postoperative recovery.