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首页> 外文期刊>Surgical Endoscopy >Laparoscopic low anterior resection with total mesorectal excision for rectal cancer Reply
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Laparoscopic low anterior resection with total mesorectal excision for rectal cancer Reply

机译：腹腔镜低位前切除全直肠系膜切除术治疗直肠癌回复

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摘要

We are very grateful to Prof. Hottenrott for his comments, which raise a number of issues, the most significant of which is: the laparoscopic approach to low rectal cancer, once the technical feasibility is definitively acquired, does offer a real clinical advantage in the light of postoperative and oncological results, or it implies a substantial increase in complications rate without a clear survival gain. In our study, the rate of anastomotic fistula was 14.4 % [1], a value that is considered high by the author; a possible explanation that is suggested by Prof. Hottenrott is the high number of patients who underwent a complete total mes-orectal excision (TME), which, by reducing the distal stump vascularization, could increase the rate of anastomotic fistula. Incidence of anastomotic leaks following anterior rectal resection for cancer has been reported to range between 3 and 21 % [2-5].
机译：我们非常感谢Hottenrott教授的评论，它提出了许多问题，其中最重要的是：一旦确定了技术可行性，腹腔镜治疗低位直肠癌的方法的确在治疗中提供了真正的临床优势。根据术后和肿瘤学结果，或者这意味着并发症发生率显着增加，而没有明显的生存期增加。在我们的研究中，吻合口瘘的发生率为14.4％[1]，该值被作者认为高; Hottenrott教授提出的一个可能的解释是，经历了完全的全直肠直肠切除术（TME）的患者数量很高，这可以通过减少远端残端血管的形成来增加吻合口瘘的发生率。直肠癌前切除术后吻合口漏的发生率据报道在3％至21％之间[2-5]。

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