Results of treatment of distal rectal carcinoma since the introduction of total mesorectal excision: a single unit experience, 1994-2003.

摘要: This study reviewed the results of surgery for distal rectal cancer (where tumour was within 6 cm anal verge) following introduction total mesorectal excision in one institution. One hundred and fifty-three patients who had undergone elective curative surgical resection verge were included. The demographic, operative follow-up data collected retrospectively. Comparisons made between different procedures. overall mortality rate nil, morbidity 41%. With a mean 37 months (range 5–100 months), local recurrence occurred 18 patients. 5-year actuarial rates double-stapled anastomosis, low-strength anastomosis abdominoperineal (APR) 39, 17 11% respectively. significantly higher low anterior than other types operation (P=0.007). On multivariate analysis type (P=0.025) stage (P=0.043), associated with recurrence, but only significant prognosticator survival (P=0.0006). practice excision, APR still necessary 40% verge. lower treated those resection; however, similar these two groups.