Related Experiment Video
Updated: Apr 29, 2026
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Experiences of scarless laparoscopic radical resection of rectal cancer]
Changjiang Qin1, Quanying Li, Kanda Fu
1Department of General Surgery, Huaihe Hospital, Henan University, Henan Kaifeng 475000, China. qincj888@163.com.
Objective:
To explore the feasibility and safety of scarless laparoscopic radical resection of rectal cancer.
Methods:
Clinical data of 26 patients who underwent scarless laparoscopic radical resection of rectal cancer from January 2011 to June 2013 were retrospectively analyzed. Lymph node dissection and transection of proximal and distal colon were performed in the conventional manner of total mesorectal excision (TME). The distal rectum 2 cm away from the tumor was closed with a linear stapler, and was pulled out through the anus. The specimen was extracted through the Alexis. The rectal opening was reclosed with a linear stapler. End-to-end colorectal anastomosis was performed using the double-stapling technique.
Results:
The operation time was (126±35) min. The intraoperative blood loss was (33±61) ml. The number of harvested lymph nodes was 17.0±5.6. The time to first bowel movement was (2.7±1.3) d. The postoperative hospital stay was (7.9±2.6) d. Only one case developed anastomotic hemorrhage.
Conclusion:
Scarless laparoscopic radical resection of rectal cancer is feasible.
