title: [Transanal laparoscopic radical resection with telescopic anastomosis for low rectal cancer].
abstract: OBJECTIVE
  To assess the safety, feasibility and clinical outcome of laparoscopic radical resection for low rectal cancer with telescopic anastomosis or with colostomy by stapler through transanal resection without abdominal incisions.
  
  
  METHODS
  From January 2010 to September 2014, 37 patients underwent laparoscopic radical resection for low rectal cancer through transanal resection without abdominal incisions. The tumors were 4-7 cm above the anal verge. On preoperative assessment, 26 cases were T1N0M0 and 11 were T2N0M0.
  
  
  RESULTS
  For all cases, successful surgery was performed. In telescopic anastomosis group, the mean operative time was (178±21) min, with average blood loss of (76±11) ml and (13±7) lymph nodes harvested. Return of bowel function was (3.0±1.2) d and the hospital stay was (12.0±4.2) d without postoperative complications. Patients were followed up for 3-45 months. Twelve months after surgery, 94.6%(35/37) patients achieved anal function Kirwan grade 1, indicating that their anal function returned to normal.
  
  
  CONCLUSIONS
  Laparoscopic radical resection for low rectal cancer with telescopic anastomosis or colostomy by stapler through transanal resection without abdominal incisions is safe and feasible. Satisfactory clinical outcome can be achieved mini-invasively.
authors.affiliation: Department of General Surgery, Beijing Military General Hospital, Beijing 100700, China. lsybz@126.com.
authors.forename: Shiyong
authors.initials: S
authors.lastname: Li
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
authors.forename: Junfeng
authors.initials: J
authors.lastname: Du
authors.forename: Guang
authors.initials: G
authors.lastname: Chen
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Wei
authors.forename: Wei
authors.initials: W
authors.lastname: Cui
authors.forename: Qiang
authors.initials: Q
authors.lastname: Yuan
authors.forename: Liang
authors.initials: L
authors.lastname: Sun
authors.forename: Xue
authors.initials: X
authors.lastname: Bai
authors.forename: Fuyi
authors.initials: F
authors.lastname: Zuo
authors.forename: Bo
authors.initials: B
authors.lastname: Yu
authors.forename: Xing
authors.initials: X
authors.lastname: Dong
authors.forename: Xiqing
authors.initials: X
authors.lastname: Ji
mesh_terms: D001003:Anal Canal; D000714:Anastomosis, Surgical; D003125:Colostomy; D006801:Humans; D010535:Laparoscopy; D008198:Lymph Nodes; D061646:Operative Time; D011183:Postoperative Complications; D012004:Rectal Neoplasms; D012449:Safety