Laparoscopic Total Mesorectal Excision in Patients with Anorectal Carcinoma: Our Early Experience

Abstract

Background:Total mesorectal excision allows en bloc removal of the mesorectum with the rectal fascia and decreases the recurrence rate to 5%. The aim of the study was to evaluate the feasibility of the laparoscopic total mesorectal excision in anorectal cancer.

Patient and Methods:Twenty-four patients were included in the study. Laparoscopic total mesorectal excision was done in all patients. Patients were followed up during their hospital stay and after discharge for recurrence and other relevant data.

Results:The mean age of studied group was 52.2 ± 12.4 years and the majority of them were females (66.7%).The mean operative time was 150.4 ± 32.6 minutes, and the mean hospital stay was 2.6±0.69 days and, the mean blood loss was 181.7±48.97cc. The majority of the studied group (95.84%) had no recurrence.  As regard complications, the majority of the patients (66.7%) had no complications. However, 8.3% of them had wound infection, stoma complication, chest infection and leakage.

Conclusion:Laparoscopic TME in sphincter preserving rectal resection can be performed with good technical efficiency, quick functional recovery, and mild disability less operative blood loss and operative trauma.