title: [Clinical applications of abdominosacral resection for low rectal cancer].
abstract: OBJECTIVE
  To explore the feasibility and safety of abdominosacral resection for patients with locally advanced primary low rectal cancer.
  
  
  METHODS
  A total of 97 low rectal cancer patients were amenable to surgery but not anal sphincter preservation were included in this study and divided into the abdominoperineal resection group(n=49) and abdominosacral resection group(n=48)  according to the order of alternative admission time between June 2010 and January 2012. Intraoperative and postoperative parameters were compared between the two groups.
  
  
  RESULTS
  The surgery went well and no perioperative mortality in the two groups. Compared with abdominoperineal resection group, the operative time of abdominosacral resection group(including the 2nd position adjustment time) was longer[(188±45) min vs. (143±48) min, P=0.000], the unexpected prostate or vagina injury incidence was lower [0 vs. 14.3%(7/49), P=0.032), and the perineal wound infection rate was lower [2.1% (1/48) vs. 18.4% (9/49), P=0.040].
  
  
  CONCLUSIONS
  Abdominosacral excision is feasible and safe for patients with locally advanced primary low rectal cancer.
authors.affiliation: Department of Anorectal Surgery, Lanzhou Command General Hospital, Lanzhou, China. gaof678@sohu.com
authors.forename: Feng
authors.initials: F
authors.lastname: Gao
authors.forename: Ming
authors.initials: M
authors.lastname: Xu
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhao
authors.forename: Song-tao
authors.initials: ST
authors.lastname: Zhou
authors.forename: Yan-wu
authors.initials: YW
authors.lastname: Ren
authors.forename: Feng
authors.initials: F
authors.lastname: Song
authors.forename: Zhi-cheng
authors.initials: ZC
authors.lastname: Lv
mesh_terms: D000005:Abdomen / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D006801:Humans; D010502:Perineum; D012004:Rectal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome