Chen Yu-Sheng, Bo Xiao-Bo, Gu Da-Yong, Gao Wei-Dong, Sheng Wei-Zhong, Zhang Bo
Associate Professor, General Surgery Department, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Xuhui District, Shanghai, China E-mail :
Asian Pac J Cancer Prev. 2015;16(1):153-5. doi: 10.7314/apjcp.2015.16.1.153.
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.
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.
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.
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.
