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Outcomes of laparoscopic abdominoperineal resection in low rectal cancer using different pelvic drainages
Yu-Sheng Chen1, Xiao-Bo Bo, Da-Yong Gu
1Associate Professor, General Surgery Department, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Xuhui District, Shanghai, China
Background:
The aim of this study was to establish the feasibility and efficiency of different pelvic drainage routes after laparoscopic abdominoperineal resection (LAPR) for rectal cancer by assessing short-term outcomes.
Materials And Methods:
Clinicopathological data of 76 patients undergoing LAPR for very low rectal cancer were reviewed retrospectively between June 2005 and June 2014. Outcomes were evaluated considering short- term results.
Results:
Of 76 relevant patients at our institution in the period of study, trans-perineal drainage of the pelvic cavity was performed in 17 cases. Compared with the trans-perineal group, the length of hospital stay was shorter in the trans-abdominal group, while the duration of drainage and the infection rates of the perineal wounds between two groups showed no significant differences.
Conclusions:
The outcomes of this study suggest that trans-abdominal drainage of pelvic cavity is a reliable and feasible procedure, the duration of drainage, infection rates and the healing rates of the perineal wounds being acceptable. Trans-abdominal drainage has a more satisfactory effect after laparoscopic abdominoperineal resection for rectal carcinoma.
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