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01-01-2021 | Rectal Cancer

Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center

Authors: Xialin Yan, Hao Su, Sen Zhang, Leqi Zhou, Jiaoyang Lu, Xiao Yang, Jianwen Li, Pei Xue, Zirui He, Mingliang Wang, Aiguo Lu, Junjun Ma, Lu Zang, Zhenghao Cai, Jing Sun, Hiju Hong, Minhua Zheng, Bo Feng

Published in: Surgical Endoscopy | Issue 1/2021

Abstract

Background

To investigate feasibility of laparoscopic abdominoperineal resection with pelvic peritoneum closure (LAPR-PPC) for lower rectal cancer.

Methods

LAPR-PPC has been used for lower rectal cancer in our institution since 2014. In this study, we retrospectively analyzed the data from 86 patients who underwent LAPR-PPC and compared with the data from 96 patients who underwent laparoscopic APR without PPC (LAPR) from January 2013 to December 2018.

Results

The rate of perineal surgical site infection (SSI) (18.75% (18/96) vs. 5.81% (5/86), p < 0.01), delayed (> 4 weeks) perineal healing (12.50% (12/96) vs. 3.49% (3/86), p = 0.027), ileus (7.29% (7/96) vs 1.16% (1/86), p = 0.044), and postoperative perineal hernia (PPH, 5.21% (5/96) vs. 0% (0/86), p = 0.032) were significantly lower in LAPR-PPC group than LAPR group. The patients in LAPR-PPC group had shorter hospitalization time (21.32 ± 11.95 days vs. 13.93 ± 11.51 days, p < 0.01).

Conclusions

PPC procedure enabled the reduction in perineal wound complications, ileus, PPH, and consequently shortened hospitalization time. LAPR-PPC is beneficial for the patients with lower rectal cancer.

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Title: Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center
Authors: Xialin Yan
Hao Su
Sen Zhang
Leqi Zhou
Jiaoyang Lu
Xiao Yang
Jianwen Li
Pei Xue
Zirui He
Mingliang Wang
Aiguo Lu
Junjun Ma
Lu Zang
Zhenghao Cai
Jing Sun
Hiju Hong
Minhua Zheng
Bo Feng
Publication date: 01-01-2021
Publisher: Springer US
Keywords: Rectal Cancer
Ileus
Rectal Cancer
Published in: Surgical Endoscopy / Issue 1/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-020-07414-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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