Transsacral local wide resection for mid-lower rectal tumors.
- Author:
Xin ZHOU
1
;
Jun-Qing SHANG
;
Jian-Nong ZHOU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Neoplasm Staging; Rectal Neoplasms; pathology; surgery; Retrospective Studies; Sacrococcygeal Region; surgery; Young Adult
- From: Chinese Journal of Gastrointestinal Surgery 2009;12(1):44-47
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy of transsacral local wide resection for mid-lower rectal tumors.
METHODSClinical data of 133 patients undergone transsacral local wide resection for mid-lower rectal tumors between September 1994 and September 2005 were analyzed retrospectively.
RESULTSNo patient died during operation. Fecal fistula occurred in 6(4.5%) patients. Negative resection margin was proved histologically in all the patients. Postoperative diagnosis was adenoma in 28 patients, hyperplastic polyp in 3 patients, carcinoid in 8 patients, gastrointestinal stromal tumor in 1 patient,adenoma with intra-mucosal carcinogenesis in 29 patients and adenocarcinoma invading into submucosa in 64 patients. Median follow-up was 76 months in 64 patients with T(1) adenocarcinoma, whose 5-year cumulative local recurrence and overall survival were 2.0% and 100% respectively. No local recurrence was observed in other patients.
CONCLUSIONTranssacral local wide resection is simple and safe for mid-lower rectal tumors, which is an appropriate procedure for mid-lower rectal benign tumor and can serve as a sphincter-saving operation for selected T(1) lower rectal carcinoma.
