Abstract：Objective To observe short-term efficacy of laparoscopic Milestechnique combined with Ligasure. Methods From April 2013 to November.2014,38 patients with rectal cancer undenwent laparoscopic Milestechnique .The patients were divided in to study group (laparoscopic Milestechnique combined with Ligasure, n=16) and control group (open Milestechnique, n=22).The clinical data were recoded and analyzed, including duration of operation ,perineal operation time ,total bleeding volume ,evacuation time ,the postoperetive hospital stays , total lymph nodes clearance , class A regrowth rate of perineal cut and postopretative pain scores. Results The total bleeding volume (125.3±25.9)ml vs (206.3±34.3)ml,perineal operation time(26.2±3.4)min vs (35.3±5.2 min),evacuation time(51.6±13.9) h vs (77.4±12.6)h,the postopertative hospital stays (11.9±2.6 days) vs (14.7±3.4 days) and postoperative pain scores(5.6±2.3 cm) vs (6.9±1.8 cm) in the study group were less than those in the control group(P<0.5).But the duration of operation(162.6±23.0 min)in the study group was longer than that(195.1±27.9 min)in the control group(P<0. 05).The number of total lymph nodes clearance had no signifficant difference between the two groups(P>0.05). Conclusions The laparoscopic Milestechnique combined with Ligasure has better short-term effect including few pain,faster recovery and low wound infection .It is worthy of further promotion and research.
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LI Yangyang and JIN Weisen. Clinical efficacy of laparoscopic Milestechnique combined with Ligasure in treatment of rectal carcinoma. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(10): 978-981.
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2015, Vol. 26 
