Efficacy of transanal local resection for early low rectal cancer
10.3760/cma.j.issn.1673-9752.2009.05.016
- VernacularTitle:经肛门局部切除术治疗早期低位直肠癌的疗效分析
- Author:
Huiming LIN
;
Pan CHI
;
Xingrong LU
;
Ying HUANG
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Surgical procedures;
Local resection
- From:
Chinese Journal of Digestive Surgery
2009;8(5):357-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of transanal local resection for early low rectal cancer. Methods The clinical data of 72 patients with early low rectal cancer who had been admitted to Union Hospital of Fujian Medical University from January 1997 to April 2009 were retrospectively analyzed. Patients were divided into 2 groups, and they received transanal local resection (group A, n = 31) and radical resection (group B, n =41), respectively. Postoperative local recurrence and distal metastasis were analyzed by Fisher exact test, the survival was analyzed by life table method. The difference in survival between the 2 groups was analyzed by Wilcoxon test. Results Three patients were found to have surgical complications in group B, while no complication was detected in group A. The local recurrence was 6% (2/31) in group A and 0 (0/41) in group B (P < 0.05); the distal metastasis was 6% (2/31) in group A and 2% (1/41) in group B, with no significance difference between the 2 groups (χ~2 =0. 062, P >0.05). The 3- and 5-year survival rates were 93%, 87% in group A, and 95%, 91% in group B, with no significant difference between the 2 groups (χ~2 =0.099, 0.144, P >0.05). Conclusions The prognosis of patients with early low rectal cancer who received transanal local resection is similar to those who received radical resection. Transanal local resection is safe and feasible when the indications are strictly followed.
