Clinical Application of Laparoscopy in Radical Operation of Rectal Cancer

Guangwei Gong¹, Shengwen Li¹, Li Luo¹, Dan Zhao¹, Jun Wei¹, Yue Qiu¹, Lei Ji¹, Kun Yang¹, Xiongshan Shen¹, Weimin Li¹ and Jinjun Li^2,

¹Department of general surgery, Xiaogan Central Hospital Affiliated to Wuhan University of Science and Technology, Xiaogan, Hubei, China

²Medical College of Wuhan University of Science and Technology, Wuhan, China

Cite this paper:
Guangwei Gong, Shengwen Li, Li Luo, Dan Zhao, Jun Wei, Yue Qiu, Lei Ji, Kun Yang, Xiongshan Shen, Weimin Li and Jinjun Li. Clinical Application of Laparoscopy in Radical Operation of Rectal Cancer. Journal of Cancer Research and Treatment. 2016; 4(3):49-51. doi: 10.12691/jcrt-4-3-3

Abstract

Objective: Analyze the clinical value of laparoscopic used in the colorectal cancer surgery. Methods: A total number of 371 clinical cases, from January 2012 to October 2014 in our hospital, were analyzed which covered 198 patients underwent the laparoscopy in radical resection and 173 cases in open radical resection. A retrospective analysis was proceeded by comparing the general information, surgery performance, pathologic data, postoperative recovery and complicetions as well as long-term survival to investigate the diversity of immediate and long-term clinical outcomes of laparoscopic radical operation. Results: All patients have successfully completed the surgery, which includes 198 cases of laparoscopic rectal resection, 173 cases in open radical resection. There were no statistically significance differences between gender, age, height, BMI, staging and associated with other diseases in two groups. The operative time of rectal resection under the Laparoscopic was shorter than open radical resection (120±30minvs 105±39min), with no statistical significance(P＞0.05).In the laparoscopy surgery, the amount of bleeding is less than open surgery (50±20ml VS 200±25ml), and the difference was statistically significant. In the laparoscopy surgery, the length of incision is shorter than open surgery (5.1±0.23cm VS 13.5±1.34cm), and the difference was statistically significant. The hospitalization length in laparoscopy surgery and open surgery was significant difference (P＜0.01). Conclusion: In contrast to open surgery group, the laparoscopy surgery group expericenced less bleeding, shorter incisionand hospitalization length. The incident rate of perioperation complications in laparoscopy surgery and open surgery groups were not significant different. The colorectal cancer resection with laparoscopic has less trauma and can recover quickly, so it can achieve the same radical effect just like laparotomy and worth to be promoted in the Clinical application.

Keywords:
Colorectal cancer Laparoscopic open surgery Complication

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