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Efficacy observation of paralleled clipping of rectal ligament in resection of rectal cancer in obese male patients / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 367-369, 2013.
Article in Chinese | WPRIM | ID: wpr-314781
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the approach and efficacy of dealing the rectal ligament in resection of rectal cancer in obese male patients.</p><p><b>METHODS</b>A total of 92 patients (BMI>25 kg/m(2)) undergoing resection of rectal cancer from December 2008 to December 2010 in Henan Tumor hospital were assigned into 2 groups according to the surgical technique, the modified group (paralleled clipping of rectal ligament, 48 patients) and traditional group (44 patients). Operative time, intra-operational bleeding, rectal ulceration, ureteral injury, mesorectal integrity, and positive rate of lateral margin of pelvic wall were compared between two groups.</p><p><b>RESULTS</b>The operative time was (66.9±99.8) min in modified group, which was significantly shorter than that in traditional group [(125.4±12.2) min, P=0.000]. Intra-operative bleeding was (160.3±27.2) ml in modified group and (150.5±28.5) ml in traditional group (P=0.093). Rectal ulceration rated were 0 and 18.2% (8/44), mesorectal disintegrity rates were 6.2% and 22.7%, pelvic infection rates were 2.1% (1/48) and 20.4 (9/44) in modified and traditional groups respectively, whose differences were all significant (all P<0.05). No ureteral injury and positive margin were found in both two groups.</p><p><b>CONCLUSION</b>The approach of paralleled clipping of rectal ligament around the rectum meets the principle of TME, which is simple, safe and effective.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Rectal Neoplasms / Rectum / General Surgery / Ligaments / Obesity Limits: Adult / Aged / Humans / Male Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Rectal Neoplasms / Rectum / General Surgery / Ligaments / Obesity Limits: Adult / Aged / Humans / Male Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2013 Type: Article