The specimen extraction from the incision of protective ileostomy for laparoscopic low anterior resection: a feasible and innovative technique

doi:10.3877/cma.j.issn.2095-3224.2015.03.12

Abstract

Abstract:

Objective

To evaluate the safety and feasibility of the specimen extraction from the incision of protective ileostomy for laparoscopic low anterior resection(Lap-LAR).

Metheods

This study included a total of 13 patients with low rectal cancer who underwent a Lap-LAR with protective ileostomy in the right iliac fossa at the cancer hospital of Chinese Academy of Medical Sciences from March 2014 to January 2015.The clinical characteristics of all 13 patients were collected and analyzed and procedure of this technique was described.

Result

All the 13 operations were successfully accomplished.The mean operative times was 140min(115-165min)and mean intraoperative blood loss was 27.7ml(10-50ml). Of these 13 patients, the mean time to liquid diet recovery was 1.6d(1-3d), the mean visual analog scale(VAS)score was 3.6(2.5-5), and the mean postoperative hospital stay was 6.9d(5-8d). There were no postoperative complications.

Conclusions

The specimen extraction from the incision of protective ileostomy for Lap-LAR is safe and feasible.As it can avoid another additional incision, it would be a possible option for diversion in laparoscopic Lap-LAR.

Key words: Rectal Neoplasms, laparoscopy, Ileostomy

Jian-wei LIANG, Zhi-xiang ZHOU, Qian LIU, Hai-tao ZHOU, Zheng WANG, Xing-mao ZHANG, Jun-jie HU, Xi LIU. The specimen extraction from the incision of protective ileostomy for laparoscopic low anterior resection: a feasible and innovative technique[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(03): 280-284.

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URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2015.03.12

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2015/V04/I03/280

Figures/Tables 3

References 9

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病例	性别	年龄	BMI	残留肿瘤大小(cm)	肿瘤距肛缘距离(cm)	治疗前分期	病理分期
1	女	49	26.7	1	8	cT3N＋M0	ypT0N0M0
2	男	46	33.5	2.5	7	cT3N0M0	ypT3N1cM0
3	女	46	27.7	1.0	6	cT3N＋M0	ypT0N0M0
4	男	61	22.3	3.0	7	cT3 N0M0	ypT3 N1M0
5	男	58	28.3	2.5	8	cT3N＋M0	ypT3 N2M0
6	女	67	25.0	2.8	6	cT3N＋M0	ypT3 N1M0
7	女	52	23.8	3.6	5	cT3N＋M0	ypT3 N0M0
8	男	59	26.8	4.5	7	cT3N＋M0	ypT3 N2M0
9	男	74	27.9	2.9	7	cT3N＋M0	ypT3 N1M0
10	女	53	24.9	1.0	5	cT3N0M0	ypT1N1M0
11	男	56	29.6	1.5	8	cT3N＋M0	ypT2 N1M0
12	女	67	26.9	2.5	7	cT3N＋M0	ypT3 N0M0
13	女	63	27.4	2.0	6	cT3N＋M0	ypT3 N2M0

病例	性别	年龄	BMI	残留肿瘤大小(cm)	肿瘤距肛缘距离(cm)	治疗前分期	病理分期
1	女	49	26.7	1	8	cT3N＋M0	ypT0N0M0
2	男	46	33.5	2.5	7	cT3N0M0	ypT3N1cM0
3	女	46	27.7	1.0	6	cT3N＋M0	ypT0N0M0
4	男	61	22.3	3.0	7	cT3 N0M0	ypT3 N1M0
5	男	58	28.3	2.5	8	cT3N＋M0	ypT3 N2M0
6	女	67	25.0	2.8	6	cT3N＋M0	ypT3 N1M0
7	女	52	23.8	3.6	5	cT3N＋M0	ypT3 N0M0
8	男	59	26.8	4.5	7	cT3N＋M0	ypT3 N2M0
9	男	74	27.9	2.9	7	cT3N＋M0	ypT3 N1M0
10	女	53	24.9	1.0	5	cT3N0M0	ypT1N1M0
11	男	56	29.6	1.5	8	cT3N＋M0	ypT2 N1M0
12	女	67	26.9	2.5	7	cT3N＋M0	ypT3 N0M0
13	女	63	27.4	2.0	6	cT3N＋M0	ypT3 N2M0

病例	手术时间(min)	术中出血(ml)	术后进流食时间(d)	术后第一天疼痛评分	术后住院时间(d)
1	165	10	1	4.5	5
2	155	20	1	3.5	7
3	115	50	2	3.0	7
4	120	30	2	4.0	8
5	125	50	1	3.0	6
6	145	40	2	3.5	7
7	130	10	1	3.5	7
8	160	40	2	3.0	7
9	140	20	2	2.5	8
10	110	10	1	3.0	6
11	165	30	2	4.5	7
12	135	20	1	5.0	8
13	155	30	3	4.0	7

病例	手术时间(min)	术中出血(ml)	术后进流食时间(d)	术后第一天疼痛评分	术后住院时间(d)
1	165	10	1	4.5	5
2	155	20	1	3.5	7
3	115	50	2	3.0	7
4	120	30	2	4.0	8
5	125	50	1	3.0	6
6	145	40	2	3.5	7
7	130	10	1	3.5	7
8	160	40	2	3.0	7
9	140	20	2	2.5	8
10	110	10	1	3.0	6
11	165	30	2	4.5	7
12	135	20	1	5.0	8
13	155	30	3	4.0	7

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