{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T21:47:25Z","timestamp":1790027245773,"version":"4.0.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2022,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rectal cancer is a common malignant tumor in the gastrointestinal tract. This work compares the effects of transumbilical laparoscopic surgery (TULS) and laparoscopic-assisted surgery on the anus-preserving effect of low\/ultralow rectal cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Eighty patients with rectal cancer admitted to our hospital from February 2011 to July 2016 were randomly selected and divided into the laparoscopic group and TULS group, 40 cases in each group, all underwent radical anorectal cancer radical surgery. Statistical analysis was performed on surgical-related indicators in the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Two patients converted to open surgery were excluded. Five patients were excluded because of radical abdomen perineal resection for rectal cancer. Six patients were converted to TULS from laparoscopic surgery. Sixty-seven patients in the experimental group successfully completed anus-sparing surgery, and none died during the operation. The compliance rate of the distance between the lower edge of the tumor and the incision edge of the specimen in the TULS group was better than that in the laparoscopic group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05). There were no significant differences between the two groups in terms of surgical time, blood loss, number of lymph node dissections, functional time of voluntary defecation and postoperative complications, tumor-free recurrence rate at 3 years, and 3-year survival rate after surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The TULS method is safe and feasible in low and ultralow rectal cancer surgery. It has more advantages than laparoscopic-assisted surgery for anus preservation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2021.0586","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T12:37:27Z","timestamp":1641991047000},"page":"740-746","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Application of Transumbilical Laparoscopic Surgery on Low\/Ultralow Rectal Cancer for Anal Sphincter Preservation"],"prefix":"10.1177","volume":"32","author":[{"given":"Lin","family":"Lin","sequence":"first","affiliation":[{"name":"Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanwen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quanchao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canfeng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7748-4491","authenticated-orcid":false,"given":"Zhanxue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"e_1_3_5_2_2","first-page":"77","article-title":"Current state and progress of preserving anal function in treatment of low or ultral-low rectal cancer","volume":"4","author":"Jian LI","year":"2018","unstructured":"Jian LI, , Zha P. Current state and progress of preserving anal function in treatment of low or ultral-low rectal cancer. China J Endosc, 2018; 4:77\u201384.","journal-title":"China J Endosc"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-003-0036-2"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-06867-y"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24867"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1606110"},{"key":"e_1_3_5_7_2","first-page":"548","article-title":"Recent advances of the safe distance of the distal excision margin for rectal cancer","volume":"38","author":"Zuo XM","year":"2011","unstructured":"Zuo XM, , Meng XL. Recent advances of the safe distance of the distal excision margin for rectal cancer. Int J Surg, 2011; 38:548\u2013552.","journal-title":"Int J Surg"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318195e17c"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828fe119"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-014-2017-5"},{"key":"e_1_3_5_11_2","first-page":"199","article-title":"Hand-assisted laparoscopic surgery compared with open resection for mid and low rectal cancer: A case-matched study with long-term follow-up","volume":"13","author":"Zhou X","year":"2015","unstructured":"Zhou X, , Liu F, , Lin C, et al. Hand-assisted laparoscopic surgery compared with open resection for mid and low rectal cancer: A case-matched study with long-term follow-up. 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Zhonghua Wei Chang Wai Ke Za Zhi, 2012; 15:633\u2013636.","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2016.0382"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31827c4a8c"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-012-1565-9"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1590\/s0004-2803.201900000-76"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2021.0586","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2021.0586","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2021.0586","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:56:49Z","timestamp":1777665409000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2021.0586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,1]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7,1]]}},"alternative-id":["10.1089\/lap.2021.0586"],"URL":"https:\/\/doi.org\/10.1089\/lap.2021.0586","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,1]]}}}