[Radical resection with total mesorectal excision under the laparoscope in the treatment of rectal cancer].
OBJECTIVE
To evaluate the effect of radical resection with total mesorectal excision under the laparoscope in the treatment of rectal cancer.


METHODS
Under the laparoscope and with the ultrasonic scalpel, total mesorectal excision in 38 patients with rectal cancer was performed. In operation, alone the parietal layer of pelvic fascia and inside the autonomic nerve trunk, the mesorectum was excised. All patients were followed up for 2 years.


RESULTS
All cases were underwent successfully and no complication was observed. Postoperative flatus and feces were passed at 32 hours and postoperational hospital stay were 7.5 days. No trocar port implantation and no death case was observed. Two local recurrence developed in 2 years follow-up.


CONCLUSIONS
Radical resection with TME is a new progress of less damageable operation, which has advantages of low postoperative local recurrence rate and help for pelvic autonomic nerve.
Tian
Wen
W
Department of General Surgery, People's Liberation Army General Hospital, Beijing 100853, China.
Li
Rong
R
Chen
Lin
L
Xiao
Xi-Ping
XP
Yang
Li
L
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D016896:Treatment Outcome