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Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer

AIM: To introduce a novel, modified primary closure technique of laparoscopic extralevator abdominal perineal excision (LELAPE) for low rectal cancer. METHODS: We retrospectively analyzed data from 76 patients with rectal cancer who underwent LELAPE from March 2013 to May 2016. Patients were classif...

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Autores principales: Wang, Yan-Lei, Zhang, Xiang, Mao, Jia-Jia, Zhang, Wen-Qiang, Dong, Hao, Zhang, Fan-Pei, Dong, Shuo-Hui, Zhang, Wen-Jie, Dai, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092585/
https://www.ncbi.nlm.nih.gov/pubmed/30122882
http://dx.doi.org/10.3748/wjg.v24.i30.3440
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author Wang, Yan-Lei
Zhang, Xiang
Mao, Jia-Jia
Zhang, Wen-Qiang
Dong, Hao
Zhang, Fan-Pei
Dong, Shuo-Hui
Zhang, Wen-Jie
Dai, Yong
author_facet Wang, Yan-Lei
Zhang, Xiang
Mao, Jia-Jia
Zhang, Wen-Qiang
Dong, Hao
Zhang, Fan-Pei
Dong, Shuo-Hui
Zhang, Wen-Jie
Dai, Yong
author_sort Wang, Yan-Lei
collection PubMed
description AIM: To introduce a novel, modified primary closure technique of laparoscopic extralevator abdominal perineal excision (LELAPE) for low rectal cancer. METHODS: We retrospectively analyzed data from 76 patients with rectal cancer who underwent LELAPE from March 2013 to May 2016. Patients were classified into the modified primary closure group (32 patients) and the biological mesh closure group (44 patients). The total operating time, reconstruction time, postoperative stay duration, total cost, postoperative complications and tumor recurrence were compared. RESULTS: All surgery was successfully performed. The pelvic reconstruction time was 14.6 ± 3.7 min for the modified primary closure group, which was significantly longer than that of the biological mesh closure group (7.2 ± 1.9 min, P < 0.001). The total operating time was not different between the two groups (236 ± 20 min vs 248 ± 43 min, P = 0.143). The postoperative hospital stay duration was 8.1 ± 1.9 d, and the total cost was 9297 ± 1260 USD for the modified primary closure group. Notably, both of these categories were significantly lower in this group than those of the biological mesh closure group (P = 0.001 and P = 0.003, respectively). There were no differences observed between groups when comparing other perioperative data, long-term complications or oncological outcomes. CONCLUSION: The modified primary closure method for reconstruction of the pelvic floor in LELAPE for low rectal cancer is technically feasible, safe and cost-effective.
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spelling pubmed-60925852018-08-17 Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer Wang, Yan-Lei Zhang, Xiang Mao, Jia-Jia Zhang, Wen-Qiang Dong, Hao Zhang, Fan-Pei Dong, Shuo-Hui Zhang, Wen-Jie Dai, Yong World J Gastroenterol Retrospective Study AIM: To introduce a novel, modified primary closure technique of laparoscopic extralevator abdominal perineal excision (LELAPE) for low rectal cancer. METHODS: We retrospectively analyzed data from 76 patients with rectal cancer who underwent LELAPE from March 2013 to May 2016. Patients were classified into the modified primary closure group (32 patients) and the biological mesh closure group (44 patients). The total operating time, reconstruction time, postoperative stay duration, total cost, postoperative complications and tumor recurrence were compared. RESULTS: All surgery was successfully performed. The pelvic reconstruction time was 14.6 ± 3.7 min for the modified primary closure group, which was significantly longer than that of the biological mesh closure group (7.2 ± 1.9 min, P < 0.001). The total operating time was not different between the two groups (236 ± 20 min vs 248 ± 43 min, P = 0.143). The postoperative hospital stay duration was 8.1 ± 1.9 d, and the total cost was 9297 ± 1260 USD for the modified primary closure group. Notably, both of these categories were significantly lower in this group than those of the biological mesh closure group (P = 0.001 and P = 0.003, respectively). There were no differences observed between groups when comparing other perioperative data, long-term complications or oncological outcomes. CONCLUSION: The modified primary closure method for reconstruction of the pelvic floor in LELAPE for low rectal cancer is technically feasible, safe and cost-effective. Baishideng Publishing Group Inc 2018-08-14 2018-08-14 /pmc/articles/PMC6092585/ /pubmed/30122882 http://dx.doi.org/10.3748/wjg.v24.i30.3440 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Retrospective Study
Wang, Yan-Lei
Zhang, Xiang
Mao, Jia-Jia
Zhang, Wen-Qiang
Dong, Hao
Zhang, Fan-Pei
Dong, Shuo-Hui
Zhang, Wen-Jie
Dai, Yong
Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer
title Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer
title_full Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer
title_fullStr Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer
title_full_unstemmed Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer
title_short Application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer
title_sort application of modified primary closure of the pelvic floor in laparoscopic extralevator abdominal perineal excision for low rectal cancer
topic Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092585/
https://www.ncbi.nlm.nih.gov/pubmed/30122882
http://dx.doi.org/10.3748/wjg.v24.i30.3440
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