Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (5): 333-336 DOI: 10.16260/j.cnki.1009-2188.2017.05.003 |
| Clinical Research |
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| Prevention of Anastomotic Haemorrhage by Redissecting the Rectal Stump in Laparoscopic Procedure: A Retrospective Study |
| ZHOU Song,NIE Kai,CHEN Da-Feng,ZHANG Wen-hua,XUE Xiao-jun,CHEN Jin-rong,CHEN Yu-fan
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| Department of General Surgery, the 175th Hospital of PLA. (The Southeast Affiliated Hospital of Xiamen University), Zhangzhou 363000, Fujian, China |
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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.
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Received: 27 March 2017
Published: 25 May 2018
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