Application value of modified traction method (dual-band composite suspension traction) in laparoscopic radical resection for low rectal cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

李風臣 ,  高學群 , 王海波

S1Fengchen, GAO Xuequn, WANG Haibo Department of Gastrointestinal Surgery, 97th Hospital of the Joint Logistic Support Force of the People’s Liberation Army of China, Yantai, Shandong 264002, P. R. China;

Corresponding?author：

高學群, Email: 648463432@qq.com

Keywords：

low rectal cancer; dual-band composite suspension traction; laparoscope; Dixon procedure

DOI：

10.7507/1007-9424.202506091

Video：

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Objective To evaluate the value of modified traction method （double-strap compound suspension traction method) in laparoscopic radical resection for low rectal cancer (Dixon procedure). Methods Prospectively selected patients who underwent laparoscopic-assisted radical resection for low rectal cancer from March 2022 to March 2023 were selected as study subjects. They were randomly divided into a control group and an observation group using a random number table. The observation group underwent the modified traction method for surgical field exposure, while the control group received the haemostatic clamp traction method. Both groups were followed up for 3 months postoperatively. The following parameters were compared between the two groups: the surgeon’s satisfaction with the intraoperative field of view, surgery-related indicators (operation time, intraoperative blood loss, positive rate of rectal air insufflation test), recovery of gastrointestinal function (time to bowel sound recovery, time to first oral intake, length of hospital stay), and the incidence of complications during the follow-up period. Results According to the inclusion and exclusion criteria, 120 patients underwent laparoscopic-assisted radical resection for low rectal cancer were included, with 60 patients in each group. The satisfaction score regarding the intraoperative field of view in the observation group was significantly higher than that in the control group [(8.42±0.96) points vs. (7.23±1.09) points, t=6.348, P<0.000], and the operation time was significantly shorter in the observation group [(166.20±19.06) min vs. (180.28±22.87) min, t=3.662, P<0.001]. No statistically significant differences were observed between the two groups in terms of intraoperative blood loss, postoperative gastrointestinal function recovery time, length of hospital stay, or complications rates (P>0.05). Conclusion The application of the double-strap compound suspension traction method in laparoscopic radical resection for low rectal cancer helps to improve surgical field exposure, facilitates the surgeon’s operation, thereby shortening the operation time, without increasing postoperative risks, demonstrating good safety.

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5.	Tang J, Yang J, Yang JS, et al. Stoma-site approach single-port laparoscopic versus conventional multi-port laparoscopic Miles's procedure for low rectal cancer: A prospective, randomized controlled trial. Asian J Surg, 2023, 46(10): 4317-4322.
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11.	姚積龍, 雷永華. 雙孔腹腔鏡下CO₂氣腹、懸吊技術治療對高位直腸癌術后疼痛及并發癥的影響. 四川生理科學雜志, 2024, 46(1): 22-24.
12.	Eng C, Yoshino T, Ruíz-García E, et al. Colorectal cancer. Lancet, 2024, 404(10449): 294-310.
13.	王利亞, 譚坤, 沈明輝, 等. 結直腸癌外科干預模式分析: 一項以2020–2023年四川省全人群為基礎的研究. 中國普外基礎與臨床雜志, 2025, 32(8): 991-997.
14.	國家衛生和計劃生育委員會《中國結直腸癌診療規范(年版)》專家組. 中國結直腸癌診療規范(2017年版). 中華臨床醫師雜志(電子版), 2018, 12(1): 3-23.
15.	Lim WH, Tan DJH, Ng CH, et al. Laparoscopic versus open resection for rectal cancer: an individual patient data meta analysis of randomized controlled trials. Eur J Surg Oncol, 2022, 48(5): 1133-1143.
16.	朱曉峰, 曾德強, 梁志平, 等. 腹腔鏡聯合經肛直腸全系膜切除術在直腸癌治療中的應用探討. 黑龍江醫藥, 2025, 38(3): 546-549.
17.	Ma J, Tang D, Tang Y, et al. A novel perineal exposure method in laparoscopic abdominal perineal resection of rectal cancer: a case series study. BMC Surg, 2024, 24(1): 163. doi: 10.1186/s12893-024-02453-9.
18.	Lu W, Huang S, Ye H, et al. Application of laparoscopic modified Bacon operation in patients with low rectal cancer and analysis of the changes in anal function: a retrospective single-center study. Front Oncol, 2023, 13: 1087642. doi: 10.3389/fonc.2023.1087642.
19.	高勝強, 俞世安, 包永進, 等. 橡皮筋牽拉技術聯合3D腹腔鏡在肝Ⅶ、Ⅷ段病灶切除術中的應用. 腹腔鏡外科雜志, 2025, 30(2): 96-100.
20.	左強, 劉見, 吳淼. 腹腔鏡直腸癌根治術第一助手手術配合要點. 腹腔鏡外科雜志, 2024, 29(11): 874-877.
21.	劉洋, 齊恒鐸, 張珍瑜, 等. 腹紗帶牽拉在腹腔鏡中低位直腸癌手術中的優勢探討. 腹腔鏡外科雜志, 2022, 27(8): 579-583.
22.	孔維杰, 李偉, 劉彤. 不同Trendelenburg角度對腹腔鏡直腸癌根治術中術野暴露及患者心肺功能的影響. 腹腔鏡外科雜志, 2021, 26(11): 830-834.
23.	謝禮鋒, 賈靜, 陳琦瑋, 等. 腹腔鏡左半結腸完整系膜切除術中“兩翼齊飛”牽拉技術的臨床應用研究. 中華胃腸外科雜志, 2025, 28(4): 412-416.
24.	He F, Yang F, Chen D, et al. Risk factors for anastomotic stenosis after radical resection of rectal cancer: a systematic review and meta-analysis. Asian J Surg, 2024, 47(1): 25-34.
25.	Degiuli M, Elmore U, De Luca R, et al. Risk factors for anastomotic leakage after anterior resection for rectal cancer (RALAR study): a nationwide retrospective study of the Italian Society of Surgical Oncology Colorectal Cancer Network Collaborative Group. Colorectal Dis, 2022, 24(3): 264-276.
26.	石三保, 段福孝, 單永琪, 等. 亞甲藍灌注試驗與充氣試驗在腹腔鏡直腸癌根治術吻合口質量檢測中比較研究. 臨床軍醫雜志, 2023, 51(6): 561-563.

1. Siegel RL, Miller KD, Wagle NS, et al. Cancer statistics, 2023. CA Cancer J Clin, 2023, 73(1): 17-48.
2. Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2024, 74(3): 229-263.
3. Lang D, Ciombor KK. Diagnosis and management of rectal cancer in patients younger than 50 years: rising global incidence and unique challenges. J Natl Compr Canc Netw, 2022, 20(10): 1169-1175.
4. Spaander MCW, Zauber AG, Syngal S, et al. Young-onset colorectal cancer. Nat Rev Dis Primers, 2023, 9(1): 21. doi: 10.1038/s41572-023-00432-7.
5. Tang J, Yang J, Yang JS, et al. Stoma-site approach single-port laparoscopic versus conventional multi-port laparoscopic Miles's procedure for low rectal cancer: A prospective, randomized controlled trial. Asian J Surg, 2023, 46(10): 4317-4322.
6. Kuo CY, Lin YK, Wei PL, et al. Clinical assessment for non-reversal stoma and stoma re-creation after reversal surgery for patients with rectal cancer having undergoing sphincter-saving operation. Asian J Surg, 2023, 46(5): 1944-1950.
7. 蔣志慶, 甘信利. 綜合牽拉法在腹腔鏡輔助低位直腸癌根治術中的應用. 中國現代手術學雜志, 2022, 26(2): 94-99.
8. 杜永御, 何洪生. 雙綁帶復合懸吊牽拉法在腹腔鏡低位直腸癌根治術中的應用. 醫學理論與實踐, 2023, 36(24): 4202-4204.
9. 楊世斌, 饒佳偉, 黃靖云, 等. 采用移動懸吊技術的三孔法完全腹腔鏡下左半結腸癌經自然腔道取標本手術要點與難點. 消化腫瘤雜志(電子版), 2025, 17(3): 405-410.
10. 賈學凡, 張彩舉, 王宗崇, 等. 低腹壓腹壁懸吊法在腹腔鏡胃癌根治術患者中的應用效果. 癌癥進展, 2024, 22(3): 306-309.
11. 姚積龍, 雷永華. 雙孔腹腔鏡下CO₂氣腹、懸吊技術治療對高位直腸癌術后疼痛及并發癥的影響. 四川生理科學雜志, 2024, 46(1): 22-24.
12. Eng C, Yoshino T, Ruíz-García E, et al. Colorectal cancer. Lancet, 2024, 404(10449): 294-310.
13. 王利亞, 譚坤, 沈明輝, 等. 結直腸癌外科干預模式分析: 一項以2020–2023年四川省全人群為基礎的研究. 中國普外基礎與臨床雜志, 2025, 32(8): 991-997.
14. 國家衛生和計劃生育委員會《中國結直腸癌診療規范(年版)》專家組. 中國結直腸癌診療規范(2017年版). 中華臨床醫師雜志(電子版), 2018, 12(1): 3-23.
15. Lim WH, Tan DJH, Ng CH, et al. Laparoscopic versus open resection for rectal cancer: an individual patient data meta analysis of randomized controlled trials. Eur J Surg Oncol, 2022, 48(5): 1133-1143.
16. 朱曉峰, 曾德強, 梁志平, 等. 腹腔鏡聯合經肛直腸全系膜切除術在直腸癌治療中的應用探討. 黑龍江醫藥, 2025, 38(3): 546-549.
17. Ma J, Tang D, Tang Y, et al. A novel perineal exposure method in laparoscopic abdominal perineal resection of rectal cancer: a case series study. BMC Surg, 2024, 24(1): 163. doi: 10.1186/s12893-024-02453-9.
18. Lu W, Huang S, Ye H, et al. Application of laparoscopic modified Bacon operation in patients with low rectal cancer and analysis of the changes in anal function: a retrospective single-center study. Front Oncol, 2023, 13: 1087642. doi: 10.3389/fonc.2023.1087642.
19. 高勝強, 俞世安, 包永進, 等. 橡皮筋牽拉技術聯合3D腹腔鏡在肝Ⅶ、Ⅷ段病灶切除術中的應用. 腹腔鏡外科雜志, 2025, 30(2): 96-100.
20. 左強, 劉見, 吳淼. 腹腔鏡直腸癌根治術第一助手手術配合要點. 腹腔鏡外科雜志, 2024, 29(11): 874-877.
21. 劉洋, 齊恒鐸, 張珍瑜, 等. 腹紗帶牽拉在腹腔鏡中低位直腸癌手術中的優勢探討. 腹腔鏡外科雜志, 2022, 27(8): 579-583.
22. 孔維杰, 李偉, 劉彤. 不同Trendelenburg角度對腹腔鏡直腸癌根治術中術野暴露及患者心肺功能的影響. 腹腔鏡外科雜志, 2021, 26(11): 830-834.
23. 謝禮鋒, 賈靜, 陳琦瑋, 等. 腹腔鏡左半結腸完整系膜切除術中“兩翼齊飛”牽拉技術的臨床應用研究. 中華胃腸外科雜志, 2025, 28(4): 412-416.
24. He F, Yang F, Chen D, et al. Risk factors for anastomotic stenosis after radical resection of rectal cancer: a systematic review and meta-analysis. Asian J Surg, 2024, 47(1): 25-34.
25. Degiuli M, Elmore U, De Luca R, et al. Risk factors for anastomotic leakage after anterior resection for rectal cancer (RALAR study): a nationwide retrospective study of the Italian Society of Surgical Oncology Colorectal Cancer Network Collaborative Group. Colorectal Dis, 2022, 24(3): 264-276.
26. 石三保, 段福孝, 單永琪, 等. 亞甲藍灌注試驗與充氣試驗在腹腔鏡直腸癌根治術吻合口質量檢測中比較研究. 臨床軍醫雜志, 2023, 51(6): 561-563.

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Latest ArticlesApplication value of modified traction method (dual-band composite suspension traction) in laparoscopic radical resection for low rectal cancer

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