title: [Clinical application of curved cutter stapler in laparoscopic anterior resection of low rectal cancer].
abstract: OBJECTIVE
  To make a preliminary assessment of the feasibility of Endo GIATM Radial Reload with Tri-StapleTM Technology(Radial Reload) in laparoscopic anterior resection of low rectal cancer.
  
  
  METHODS
  Clinical data of 21 low rectal cancer patients undergoing laparoscopic anterior resection with the Radial Reload in our department between July 2014 and July 2015 were retrospectively analyzed.
  
  
  RESULTS
  All the rectums were achieved complete transection by the first stapler device firing and all the operations were performed successfully. No patient were converted to open surgery. The operative time ranged from 110.0 to 180.0(140.5±16.6) minutes, the blood loss ranged from 50.0 to 100.0(66.8±11.4) ml, and the distal resection margin ranged from 1.0 to 3.0(1.8±0.7) cm. Tumor cells were not discovered in all the postoperative pathological samples of distal resection margin. Among 21 cases, stage I( was found in 14 cases, stage II( in 4 cases and stage III( in 3 cases. There were no anastomotic bleeding and anastomotic leakage. There was no local recurrence and distant metastasis during a median follow-up of 6 months(1 to 13 months) postoperatively.
  
  
  CONCLUSIONS
  The application of Radial Reload in laparoscopic anterior resection of low rectal cancer is feasible with satisfactory efficacy.
authors.forename: Jian
authors.initials: J
authors.lastname: Shen
authors.affiliation: Department of General Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020, China. leeminzhe@hotmail.com.
authors.forename: Minzhe
authors.initials: M
authors.lastname: Li
authors.forename: Yanfu
authors.initials: Y
authors.lastname: Du
authors.forename: Dehong
authors.initials: D
authors.lastname: Xie
authors.forename: Hao
authors.initials: H
authors.lastname: Qu
authors.forename: Yudong
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D005240:Feasibility Studies; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation*; D009364:Neoplasm Recurrence, Local; D061646:Operative Time; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012189:Retrospective Studies; D017792:Surgical Stapling