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Shan Muhammad
Heilongjiang University of Traditional Medicine, China
ScientificTracks Abstracts: J Can Res Metastasis
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.
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.
E-mail: nimbus14@hotmail.com
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