ObjectiveTo evaluate the value of modified traction method （double-strap compound suspension traction method) in laparoscopic radical resection for low rectal cancer (Dixon procedure). MethodsProspectively 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.
