Laparscopical total mesorectal excision in the treatment of the rectal cancer

Objective To assess the clinical effect of the laparoscopical total mesorectal excision in the treatment of the rectal carcinoma. Methods Excision of the mesorectum was performed through laparoscope on 10 patients with rectal cancer based on the concept of total mesorectal excision including Dixon's in 5 cases,Mile's in 4 cases mono-ovary excision in 1 case. Results Tem total mesorectal excision were successfully completed totally through laparoscope, and no one was converted to open procedure. The operation time was 240 minutes(180～300).Operation blood loss was 65 mL(30～80).The time of bowel function returning and the time to resume post operative diet was 1～2 days after the operation. Average hospital stay was 11 days(7～14).There was no intraoperative or postoperative complications in all cases. After 6 ～12 months,all patients got a good living quality without recurrence nor plantations in the pores of the trocars.Conclusion Laparoscopical total mesorectal excision is a minimally invasive,feasible and effective technique with rapid recovery, dramatically higher rate of sphincter preservation,and less pain ofter operation. 〔