Factors Predicting Difficulty of Laparoscopic Low Anterior Resection for Rectal Cancer with Total Mesorectal Excision and Double Stapling Technique.

ABSTRACT:

Background

Laparoscopic sphincter-preserving low anterior resection for rectal cancer is a surgery demanding great skill. Immense efforts have been devoted to identifying factors that can predict operative difficulty, but the results are inconsistent.

Objective

Our study was conducted to screen patients' factors to build models for predicting the operative difficulty using well controlled data.

Method

We retrospectively reviewed records of 199 consecutive patients who had rectal cancers 5-8 cm from the anal verge. All underwent laparoscopic sphincter-preserving low anterior resections with total mesorectal excision (TME) and double stapling technique (DST). Data of 155 patients from one surgeon were utilized to build models to predict standardized endpoints (operative

SUBMITTER: Chen W 

PROVIDER: S-EPMC4798689 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature