title: Outcomes of laparoscopic abdominoperineal resection in low rectal cancer using different pelvic drainages.
abstract: BACKGROUND
  The aim of this study was to establish the feasibility and efficiency of different pelvic drainage routes after laparoscopic abdominoperineal resection (LAPR) for rectal cancer by assessing short-term outcomes.
  
  
  METHODS
  Clinicopathological data of 76 patients undergoing LAPR for very low rectal cancer were reviewed retrospectively between June 2005 and June 2014. Outcomes were evaluated considering short- term results.
  
  
  RESULTS
  Of 76 relevant patients at our institution in the period of study, trans-perineal drainage of the pelvic cavity was performed in 17 cases. Compared with the trans-perineal group, the length of hospital stay was shorter in the trans-abdominal group, while the duration of drainage and the infection rates of the perineal wounds between two groups showed no significant differences.
  
  
  CONCLUSIONS
  The outcomes of this study suggest that trans-abdominal drainage of pelvic cavity is a reliable and feasible procedure, the duration of drainage, infection rates and the healing rates of the perineal wounds being acceptable. Trans-abdominal drainage has a more satisfactory effect after laparoscopic abdominoperineal resection for rectal carcinoma.
authors: Associate Professor, General Surgery Department, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Xuhui District, Shanghai, China E-mail : surgeonzhang@hotmail.com.
authors: Yu-Sheng
authors: YS
authors: Chen
authors: Xiao-Bo
authors: XB
authors: Bo
authors: Da-Yong
authors: DY
authors: Gu
authors: Wei-Dong
authors: WD
authors: Gao
authors: Wei-Zhong
authors: WZ
authors: Sheng
authors: Bo
authors: B
authors: Zhang
mesh_terms: D000005:Abdomen / Q000473:pathology* / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D010502:Perineum / Q000473:pathology* / Q000601:surgery*; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome