Laproscopic pelvic approach to ISR for ULAR        CHI Pan,LIN Hui-ming,LU Xing-rong, et al. General Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China
Corresponding author: CHI Pan, E-mail: cp3169@163.com
Objective    To investigate the feasibility of pelvic approach directly to intersphincteric resection (ISR) for ultra-lower anterior resection (ULAR) when undergoing laproscopic total mesenteric excision (TME).Methods    A total of 47 patients with a rectal cancer at a distance of 4~5cm from anal verge had an ISR from January 2008 to July 2009.Thirty-seven patients were included according to the review standards. Laparoscopic group included 21 patients and open group 16 patients.Results    The general information between two groups is comparability.(1)Complications:Four patients in laparoscopic group had the complications such as chylus leak in 2 cases,stoma bleeding in 1 case and adhesive ileus in 1 case.Five patients in open group had such as pulmonary infection in 3 cases, chylus leak in 1 case and urinary retention in 1 case.(2)Fecal function (Vaizey score):It was (2.4±2.4) (0~9 score) in laparoscopic group and (2.4±2.4) (0~8 score) in open group.There was no significant difference of fecal function in two groups.(3)Prognosis:The case of local metastasis and recurrence in two groups have not been found up to now.Conclusion    Laproscopic pelvic approach to ISR for ULAR is feasible and safety.