title: [Clinical analysis of 11 cases undergoing transanal minimal invasive or combined laparoscopy total mesorectal excision for rectal cancer].
abstract: OBJECTIVE
  To explore the feasibility and safety of transanal minimal invasive or combined laparoscopy total mesorectal excision.
  
  
  METHODS
  Clinical data of 11 cases with rectal cancer undergoing transanal total mesorectal excision(taTME) in our hospital between September 2014 and May 2015 were analyzed retrospectively.
  
  
  RESULTS
  Among 11 patients, 3 underwent pure-taTME successfully without abdominal incision and ileostomy, whose operation time was 210, 230, 215 min respectively, while other 8 patients underwent laparoscopy-assisted taTME(hybrid-taTME) with operation time ranging from 150 to 290 (median 205) min. No patient was transferred to open operation, while larger tumors of two patients were removed from hypogastric 5 cm incision. Postoperative first day VAS score was 1 to 3(2.0±0.6), the first flatus was 6 to 70(30.2±17.3) h, hospital stay was 4 to 12(7.5±2.5) d, the blood loss was (104±127) ml and the liquid food intake was (28.3±6.3) h. Postoperative complications included 1 case of subcutaneous emphysema, 1 case of anastomotic stoma bleeding, 2 cases of dysuria, which were cured by conservative therapy. One patient developed rectovaginal fistula 20 days after operation and then underwent ileostomy. No relapse of tumor or death during follow-up.
  
  
  CONCLUSIONS
  For suitable rectal cancer patients, taTME or hybrid-taTME is feasible.
authors: Department of General Surgery, Institute of Surgery Research, Daping Hospital, The Third Military Medical University, Chongqing 400042, China. vdtong@163.com.
authors: Jingwang
authors: J
authors: Ye
authors: Bin
authors: B
authors: Huang
authors: Weidong
authors: W
authors: Tong
authors: Tao
authors: T
authors: Fu
authors: Chunxue
authors: C
authors: Li
authors: Xiangfeng
authors: X
authors: Wang
authors: Song
authors: S
authors: Zhao
authors: Li
authors: L
authors: Wang
authors: Lei
authors: L
authors: Shi
authors: Baohua
authors: B
authors: Liu
mesh_terms: D001003:Anal Canal; D006801:Humans; D007081:Ileostomy; D010535:Laparoscopy; D007902:Length of Stay; D019060:Minimally Invasive Surgical Procedures; D061646:Operative Time; D011183:Postoperative Complications; D012004:Rectal Neoplasms; D012189:Retrospective Studies