Abstract: ObjectiveTo investigate the prevention of anastomotic haemorrhage by redissecting the rectal stump in laparoscopic procedure.MethodsA total of 77 patients with sigmoid colon cancer/rectal cancer performed laparoscopic surgery with endtoend anastomosis via anus were collected from April 2014 to February 2016. The clinical data including operation duration, redissection time and anastomotic haemorrhage were retrospectively analyzed.ResultsThe laparoscopic surgery was successfully performed in all cases without conversion to open surgery. The operation duration was 115 to 205 minutes with an average of 153.6 minutes, the redissection time was 2 to 5 minutes with an average of 2.8 minutes, the intraoperative blood loss volume was 5 to 100 ml with an average of 33.1 ml, and the gastrointestinal recovery time was 20 to 72 hours with an average of 45.2 hours. None was complicated with anastomotic bleeding.ConclusionThe technique of laparoscopic redissection of rectal stump is simple, handling and effective to prevent postoperative anastomotic bleeding.
周松，聂凯，陈达丰，张文华，薛小军，陈锦荣，陈宇凡. 腹腔镜下直肠远断端再裸化预防吻合口出血[J]. 中国现代手术学杂志, 2017, 21(5): 333-336.
ZHOU Song,NIE Kai,CHEN Da-Feng,ZHANG Wen-hua,XUE Xiao-jun,CHEN Jin-rong,CHEN Yu-fan. Prevention of Anastomotic Haemorrhage by Redissecting the Rectal Stump in Laparoscopic Procedure: A Retrospective Study. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 333-336.
MartínezSerrano MA, Parés D, Pera M, et al. Management of lower gastrointestinal bleeding after colorectal resection and stapled anastomosis［J］. Tech Coloproctol, 2009, 13(1):4953. doi: 10.1007/s1015100904586.
2017, Vol. 21 
