8 / 8
Page 21
J Can Res Metastasis, Volume 3
September 16-17, 2019 | Edinburgh, Scotland
Volume 3
Breast Cancer 2019 & Cancer Science 2019
September 16-17, 2019
Journal of Cancer & Metastasis Research
BREAST CANCER
CANCER SCIENCE AND THERAPY
2
nd
World Congress on
&
Total laparoscopic middle rectal resection with transanal specimen extraction: A
minimally invasive technique called Noses
Shan Muhammad
Heilongjiang University of Traditional Medicine, China
Objective
: To evaluate the feasibility, safety and the short-term outcomes through technical aspects of the middle rectal resection
followed by transanal specimen extraction.
Methods
: Forty-four consecutive patients with rectal tumors underwent laparoscopic rectectomy followed by transanal specimen
extraction over a period of two years. All the patients were satisfied with the inclusion criteria of this approach. Intraoperative
data as well as short-term outcomes were evaluated respectively.
Results
: The laparoscopic rectal resection followed by transanal specimen extraction was successfully carried out in all of the 44
patients without intraoperative conversion and additional access. The mean operation time was 182.7 min (range 130-255 min),
the mean blood loss was 26.5 ml (range 5-120 ml), the mean postoperative exhaust time was 31.3 hours (range 16-60 hours), and
the mean length of hospital stay was 9.5 days (range 8-19 days). One of the patients was detected with an anastomotic leakage
postoperatively which was dealt with an antibiotic course and daily pelvic cavity flush. No infection-related complications and
anal incontinence were observed. The mean size of the tumor was 2.1 cm (range from 1.6-3.2 cm), the mean number of harvested
lymph nodes was 16.5 (range 6-31) and the mean follow-up time was 8.5 months (range 2-16 months). To the last follow-up, no
signs of recurrence in any of these patients were found.
Conclusion
: The combination of standard laparoscopic rectectomy and transanal specimen extraction could be a well-established
strategy and may be considered as an alternative procedure to the conventional laparoscopic rectectomy.
Biography
Shan Muhammad has completed PhD in General Surgery recently under the supervision of Wang Xishan; who is a very well-known
colorectal surgeon both nationally and internationally. He has published various colorectal cancer related studies. He has a good
experience in both basic and clinical research. His team has come up with the novel developmental idea in NOSES for CRC, which
has been successfully implemented and carried on in the CRC department of the 2nd hospital of HMU and many patients have been
treated successfully. He is currently doing research in Western and Chinese medicine integration at the Heilongjiang University of
Traditional Medicine, Harbin, China.
nimbus14@hotmail.com