Application of Hand-Sewn Anastomosis in Totally Laparoscopic Radical Resection of Colorectal Cancer with Transanal Specimen Extraction  

作　　者：Jingyu Wu Tengqi Wang Yongjing Tian Haibin Sun Haiping Feng 

机构地区：[1]Department of Gastrointestinal Surgery,Bayannur Hospital,Bayannur 015000,Inner Mongolia,China

出　　处：《Proceedings of Anticancer Research》2024年第6期94-104,共11页抗癌研究

基　　金：Medical and Health Science and Technology Plan of Inner Mongolia Autonomous Region(No.202202405);Clinical Key Specialty Construction Project of Inner Mongolia Autonomous Region(2023);Bayannur City Science and Technology Innovation Driving Project(No.K202029,SFK2020LH05);Internal Research Project of Bayannur City Hospital(No.2019022)。

摘　　要：Objective: To explore the value of hand-sewn anastomosis in totally laparoscopic radical resection of colorectal cancr with transanal specimen extraction. Methods: A retrospective descriptive study was conducted. Clinical data of 54 patients with colorectal cancer who underwent totally laparoscopic transrectal specimen extraction surgery between January 2019 and December 2023 at the Department of Gastrointestinal Surgery, Bayannur City Hospital, were collected. All patients underwent digestive tract reconstruction using hand-sewn end-to-end colonic or rectal anastomosis. Intraoperative and postoperative general conditions, pathological results, complications, and follow-up data were analyzed. Results: Among the 54 cases, 37 were male, and 17 were female. The cases included 26 sigmoid colon cancers, 27 high rectal cancers, and 1 descending colon cancer. All patients underwent totally laparoscopic radical resection of colorectal cancer with transrectal specimen extraction. The average surgical duration was 187.87 ± 61.36 minutes, with 16 (14-19) minutes required for hand-sewn anastomosis. Intraoperative blood loss was 16 (10-200) mL, with no conversions to open surgery or blood transfusions. Postoperative outcomes included first flatus time of 1 (1-3) day, liquid diet resumption on 2 (2-3) days, postoperative Visual Analog Scale (VAS) pain score of 2 (2-3), and hospital stay duration of 8 (7-9) days. The total hospitalization cost was 41,011 (25,655-148,589) Chinese yuan, with an average cost of 42,558.81 ± 8,599.30 Chinese yuan after excluding three cases with complications. Pathological examination revealed all cases to be adenocarcinomas: 20 well-differentiated, 32 moderately differentiated, and 2 poorly differentiated. All resection margins were negative. An average of 16.85 ± 7.97 lymph nodes were dissected. Pathological staging included 18 stage I, 17 stage II, and 19 stage III cases. Postoperative complications included 2 cases of anastomotic leakage (3.7%), 1 case of anastomotic stricture (1.8%), and 1 c

关 键 词：Hand-sewn anastomosis Colorectal cancer Natural orifice specimen extraction surgery Totally laparoscopic 

分 类 号：R73[医药卫生—肿瘤]