[The anatomical characteristics and its applied significance of laparoscopic rectal surgery].
OBJECTIVE
To realize the anatomical characteristics of laparoscopic rectum surgery and its clinical significance.


METHODS
117 cases with benign and malignant diseases of rectum were operated by laparoscopic methods. The anatomy closely related with operation was analyzed.


RESULTS
The median operative time were 144 min. 4 cases were converted to open operations, so the converted rate was 1.7%. The blood loss in operation was rather little with an average of 126 ml. No instant or delayed injury of ureters, large bleeding in front of sacrum and other operation-related severe complications happened intra- and after operation. Dissecting only in one case disrupted the anterior-left wall of rectum.


CONCLUSIONS
Laparoscopic rectal surgery is clinically feasible. Mastering the anatomical characteristics of laparoscopic rectum surgery can make us reduce the operative mistakes and complications.
Luo
Cheng-yu
CY
Beijing Fuxing Hospital Affiliated to Capital University of Medical Science, Beijing 100038, China.
Ji
Xiao-xin
XX
Zhang
Jian
J
Guan
Chen
C
Lin
Hua
H
Yang
Qi
Q
Ding
Yi
Y
Xue
Lei
L
Pan
Bang-jie
BJ
Zhang
Yong-zhi
YZ
D000293:Adolescent; D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D014513:Ureter / Q000033:anatomy & histology