Outcomes of Laparoscopic Abdominoperineal Resection in Low Rectal Cancer Using Different Pelvic Drainages


Background: The aim of this study was to establish the feasibility and efficiency of different pelvic drainageroutes after laparoscopic abdominoperineal resection (LAPR) for rectal cancer by assessing short-term outcomes.Materials and
Methods: Clinicopathological data of 76 patients undergoing LAPR for very low rectal cancerwere reviewed retrospectively between June 2005 and June 2014. Outcomes were evaluated considering shorttermresults.
Results: Of 76 relevant patients at our institution in the period of study, trans-perineal drainage ofthe pelvic cavity was performed in 17 cases. Compared with the trans-perineal group, the length of hospital staywas shorter in the trans-abdominal group, while the duration of drainage and the infection rates of the perinealwounds between two groups showed no significant differences.
Conclusions: The outcomes of this study suggestthat trans-abdominal drainage of pelvic cavity is a reliable and feasible procedure, the duration of drainage,infection rates and the healing rates of the perineal wounds being acceptable. Trans-abdominal drainage has amore satisfactory effect after laparoscopic abdominoperineal resection for rectal carcinoma.