TME or TSD with pelvic autonomic nerve preserving operation for 247 patients with advanced rectal cancer
- VernacularTitle:应用全直肠系膜切除和保留植物神经的三腔清扫技术治疗中晚期直肠癌247例
- Author:
Chun-Bao ZHAI
;
Yong-Gang WANG
;
Li-Jun TIAN
;
Li-Yun NIU
;
Jian-Yong YANG
;
Shou-Ren JIA
;
- Publication Type:Journal Article
- Keywords:
Rectal neoplasmas;
Pipestive system surgical procedures;
Total mesorectal exci-sion(TME);
Three space dissection(TSD)
- From:
Cancer Research and Clinic
2006;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate effects of rectal cancer to undergo total mesorectal excision (TME)or three space dissection(TSD)with pelvic autonomic nerve preservation(PANP).Methods TME or/ and TSD was applied in 247 Patients with advanced rectal cancer in which 185 cases (74.9 %) underwent PANP(Group P)including TME-PANP(Group Pro)139 cases and TSD-PANP(Group Ps)46 cases.The other 62 cases underwent none-PANP(Group P-)due to tumor invasion.Results There were no death cases for operation inall patients.Group Pm was better than Group Ps in the operation time and the difficulty of proce- dure(P0.05).Conclusion The procedure with TME to preserve pelvic autonomic nerves adapts to the majority of rectal cancer patients.TSD procedure is more complex than TME.Statistically,the survival differ- ence between Patients with TSD and with TME is no defective.The survival time is determined to the tumor's earlier diagnosis and therapy.
