| Autor: |
Fu-yi, Zuo, Shi-yong, Li, Bo, Yu, Zhen-jia, Liang, Shu-jun, Yuan, Gang, Chen, Guang, Chen, Xue, Bai, Xiao-jun, Wei, En, Wu |
| Rok vydání: |
2007 |
| Předmět: |
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| Zdroj: |
Zhonghua wai ke za zhi [Chinese journal of surgery]. 45(17) |
| ISSN: |
0529-5815 |
| Popis: |
To investigate and compare therapeutic effects of sphincter-preserving operation and Miles operation for rectal cancer.A retrospective analysis was carried out in 572 cases of rectal cancer operations performed from January 1980 to December 2006.Sphincter-preserving operation was carried out in 403 cases and Miles procedure in 169 cases. The follow-up rate was 76.2% (436/572) with a period of 0.5 - 25.0 years (median, 9.5 years). Local recurrence occurred in 6.3% (20/317) of sphincter-preserving operation and 7.6% (9/119) of Miles operation, the differences was not significant (chi2 = 1.3942, P0.05). Distal metastasis was found in 50 cases (15.7%) of sphincter-preserving operation and 19 cases (16.2%) of the Miles operation with no significant difference (chi2 = 0.6672, P0.05). There was no significant difference in five-year survival rate between the two groups, with 67.8% in sphincter-preserving operation and 67.2% in Miles operation.Sphincter-preserving operations can improve the quality of life in rectal cancer although with the same five-year survival rate and recurrence rate as Miles operation. The operation for rectal cancer should be performed individually according to the location, the bionomics and the clinical stage. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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