Outcomes of Laparoscopic Abdominoperineal Resection in Low Rectal Cancer Using Different Pelvic Drainages

  • Chen, Yu-Sheng (General Surgery Department, Zhongshan Hospital, Fudan University) ;
  • Bo, Xiao-Bo (General Surgery Department, Zhongshan Hospital, Fudan University) ;
  • Gu, Da-Yong (General Surgery Department, Zhongshan Hospital, Fudan University) ;
  • Gao, Wei-Dong (General Surgery Department, Zhongshan Hospital, Fudan University) ;
  • Sheng, Wei-Zhong (General Surgery Department, Zhongshan Hospital, Fudan University) ;
  • Zhang, Bo (General Surgery Department, Zhongshan Hospital, Fudan University)
  • Published : 2015.02.04


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. Materials and 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.


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