[Transanal specimen extraction in laparoscopic colorectal resection].
OBJECTIVE
To investigate the feasibility and efficacy of transanal specimen extraction in laparoscopic colorectal resection.


METHODS
From January 2009 to December 2010, transanal specimen extraction technique was performed in 12 patients undergoing laparoscopic colorectal resection. The clinical data were retrospectively analyzed.


RESULTS
There were 8 males and 4 females. The age ranged from 41 to 67 (mean, 58) years old. The mean operative time was (240±45) min, mean blood loss was (70±40) ml. There was no anastomotic leakage or stenosis. One patient with constipation suffered from intractable right lower abdominal pain and was managed with antispasmodic agents. The frequency of bowel movements was 3-7/d in the 5 patients with constipation and 1-2/d in patients with colorectal carcinoma at six months postoperatively. No local recurrence and metastasis in patients with colorectal cancer after follow-up of 1-20 months.


CONCLUSIONS
Transanal specimen extraction in laparoscopic colorectal resection is feasible, safe, and reliable.
Department of General Surgery, Capital Medical University, Beijing, China.
Wei
W
Yan
Bu-he
BH
Amin
Bin
B
Zhu
Neng-wei
NW
Zhang
Dong-bo
DB
Lian
Qing
Q
Fan
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome