Application of Uterine Manipulator in Female Laparoscopic Rectectomy

Objective：To investigate the application of the uterine manipulator in the female Laparoscopic rectectomy. Methods：Using the uterine manipulator to raise the womb to expose the Douglas fossa in order to provide a good vision in 38 cases of female Laparoscopic rectectomy. Results：The 38 cases treated by such operation were successful, including Dixon 34 cases(2 cases combined with hysteromyomectomy, 2 cases of removal of ovarian cysts, 1 case of partial resection of the bladder) and 4 cases of Miles, 1 case of vaginal posterior wall injury, 1 case of postoperative anastomotic bleeding， no other peri-operative complications. The average operation time was (170±40)min, the estimated operative blood loss was (35±10)ml, the number of removed matastatic lymph nodes were (14±4)， postoperative hospitalization term was (9±1) days, without conversion. Conclusion：The approach using the uterine manipulator to replace the Uterine suspension can provide a better vision in female Laparoscopic rectectomy， and it is convenient, flexible and less traumatic.