90 patients with total mesorectal excision of rectal cancer clinical analysis.docVIP

 PAGE \* MERGEFORMAT 12 90 patients with total mesorectal excision of rectal cancer clinical analysis [Abstract] Objective: To investigate the low rectal cancer with total mesorectal excision on local recurrence rate, survival rate and postoperative quality of life. Methods: from January 2003 to May 2007 among 90 patients admitted from the anal margin of 5 ~ 8 cm of rectal cancer after total mesorectal excision (taotl mesoreetal, TME), its effects and major complications. Results: Postoperative anastomotic leakage occurred in 4 cases, 1 case of presacral bleeding, anastomotic stenosis in 4 cases, 1 case of local recurrence, dysuria in 3 cases, 35 cases of bowel discomfort, sexual dysfunction in 1 case. which 75 patients survived more than 5 years, were no operative deaths. Conclusion: All rectal cancer mesorectal excision is feasible and safe, but should the indications and reduce complications. total mesorectal excision of rectal cancer can reduce the local recurrence rate and improve the postoperative quality of life, has been recognized as a rectal cancer surgery The new gold standard. [Keywords:] cancer; total mesorectal; recurrence; survival rate Cancer is one of the most common malignant tumor, the current study found that lack of mesorectal excision, some remained in the patients with pelvic tumors, the recurrence is the main cause. Resection with total mesorectal rectal cancer can be reduced effectively local recurrence rate is a reasonable treatment rectal cancer surgery, now 90 cases of rectal cancer in our department total mesorectal excision of the feasibility report summarized as follows. 1 Materials and Methods 1.1 Clinical data 90 patients, male 58 cases, 32 females, aged 36 to 83 years, mean age 62 years. General classification of cancer: 65 cases of ulcer, mass in 25 cases. Pathologic types: 12 cases of mucinous , 9 cases of adenocarcinoma, moderately differentiated adenocarcinoma in 21 cases, 48 cases of poorly differentiated