Dissection technique of total mesorectal excision:a report of 112 cases
10.3760/cma.j.issn.1673-4904.2009.26.008
- VernacularTitle:直肠癌行全直肠系膜切除术分离技术的讨:附112例报告
- Author:
Guosen SU
;
Jianwei ZHAN
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Anatomy,regional;
Total mesorectal excision
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(26):17-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the dissection technique of total mesoreetal excision(TME).Method One hundred and twelve eases of rectal cancer underwent TME from January 2000 to August 2008 were retrospectively analyzed.Results All the procedures were conducted sueeessfully,average blood loss was(45±32)ml during the dissection of rectal mesentery,the hypogastrie nerves were preserved in 96 eases,urinary retention occurred in 6 eases and recovered 1 month later.Anastomotie leakage occurred in 1 ease and healed after transverse colostomy.Wound infection in 6 eases and healed by dress changing.There was no ureter injury.There were 14 eases of death,6 eases of recurrence and 15 eases of distal metastasis according to(3.7±1.1)years follow-up in 112 eases.The survival rate of 1,3,5 years was 92.0%(103/112),84.8%(95/112),66.1%(74/112)respectively.Conclusion Anatomical dissection adequate exposure and hemostasis are critical factors for TME.
