| Objective To Analysis the common complications after laparoscopic Dixon operation. Methods The clinic data of 100 patients underwent laparoscopic Dixon operation from September 2005 to January 2009 was analyzed. 64 male and 36 female patients aged from 29 to 81 with the mean of 58.5±12.1. These cases were excluded the conditions of acute intestinal obstruction,intra-abdominal spread, lungs/brain/bone metastases, ASA (American Society of Anesthesiologists ) risk IV and V. Distance from tumor to anal was range from 4 to 20cm with the mean of 8.26±3.3cm. There were 10 mucinous adenocarcinoma cases, 84 differentiated adenocarcinoma cases,2 poorly differentiated adenocarcinoma cases and a villous adenocarcinoma canceration. The rest three cases were atypical rectum carcinoid,rectal neuroendocrine carcinoma and endometriosis. According to postoperative pathologic (AJCC),there were 13 cases on phase I,41 cases on phase II,40 cases on phase III and 3 cases on phase IV. All the datas were analyzed by SPSS 13.0 using X2 test for association. Results Non-cases had been converted to open surgery. 8 patients occurred anastomotic leakage in 4 to 9 days after operation (8%);3 patients suffered from anastomotic bleeding in 24 hrs post-operation (3%);14 patients were infected (2 with lung infection,2%); and 5 patients ileus in 4 to 13 days after operation (5%). Male patients were more likely to develope postoperative anastomotic leakage (p=0.048<0.05), while phase IV patients were prone to develop anastomotic leakage and infection (P=0.032<0.05;P=0.010<0.05). Conclusions As long as disposing properly, laparoscopic Dixon operation does not increase the risk of postoperative complications,such as anastomotic leakage,anastomotic bleeding,lung infection and ileus. Gender and the pathologic phase are the risk factors for postoperative anastomotic leakage. Preventive colostomy may be applied to male patient with advanced rectum cancer.
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