Comparison of local recurrence of rectal cancer after two radical operations using total mesorectal excision.
- Author:
Pan CHI
1
;
Huiming LIN
;
Yanchang CHEN
;
Daliang CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Colorectal Surgery; Female; Humans; Male; Mesentery; surgery; Middle Aged; Neoplasm Recurrence, Local; Rectal Neoplasms; pathology; surgery
- From: Chinese Journal of Surgery 2002;40(11):820-825
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the difference in local recurrence Dixon and Miles groups after total mesorectal excision.
METHODSOne hundred and seventy-three patients with rectal cancer were divided into two groups (Dixon group, 123 patients; Miles group 50 patients). Total mesorectal excision was made according to Heald's method.
RESULTSThe local recurrence in the Dixon and Miles groups was 4.8% (6/123) and 18.0% (9/50) respectively (P < 0.05), and in the Miles group before and after 1997 was 36.8% (7/19) and 6.5% (2/31) respectively (P < 0.05), 4.8% in LRR (P < 0.01). No significant difference was observed in the local recurrence between the two groups (P > 0.05).
CONCLUSIONTotal mesorectal excision is an important factor reducing local recurrence after radical operation for rectal cancer.
