Local recurrence after radical resection with total mesentery excision (TME) for the treatment of rectal cancer
- VernacularTitle:全直肠系膜切除直肠癌根治术后局部复发78例的临床观察
- Author:
Yuanman REN
;
Wengang PENG
;
Qingshun JI
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Neoplasm recurrence, local;
Mensentery;
Surgical procedures, operative
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the effect of radical proctectomy with TME for the treatment of rectal carcinoma in the prevention of postoperative local recurrence. Method78 patients undergoing this procedure were followed up for 5 years.ResultLocal recurrence developed in 10 cases during 5 year′s follow up, with recurrence related mortality of 7/78, local recurrence rate of 10/78 (13%). Tumor malignancy and Dukes′ grade were in direct proportion with the recurrence. The 5 year′s survival rate was 88%(69/78). The postoperative 5 year′s survival rate in Dukes′ A, B and C patients was respectively 100%(9/9), 92%(51/54), and 64%(9/14). ConclusionRadical proctectomy with TME is superior to that without TME in terms of low postoperative local recurrence rate for the treatment of rectal carcinoma.
