Ontology type: schema:ScholarlyArticle Open Access: True
2010-07-26
AUTHORST Herzog, O Belyaev, AM Chromik, D Weyhe, CA Mueller, J Munding, A Tannapfel, W Uhl, MH Seelig
ABSTRACTBackgroundThe concept of total mesorectal excision has revolutionised rectal cancer surgery. TME reduces the rate of local recurrence and tumour associated mortality. However, in clinical trials only 50% of the removed rectal tumours have an optimal TME quality. Patients: During a period of 36 months we performed 103 rectal resections. The majority of patients (76%; 78/103) received an anterior resection. The remaining patients underwent either abdominoperineal resection (16%; 17/103), Hartmann's procedure (6%; 6/103) or colectomy (2%; 2/103).ResultsIn 90% (93/103) TME quality control could be performed. 99% (92/93) of resected tumours had optimal TME quality. In 1% (1/93) the mesorectum was nearly complete. None of the removed tumours had an incomplete mesorectum. In 98% (91/93) the circumferential resection margin was negative. Major surgical complications occurred in 17% (18/103). 5% (4/78) of patients with anterior resection had anastomotic leakage. 17% (17/103) developed wound infections. Mortality after elective surgery was 4% (4/95).ConclusionOptimal TME quality results can be achieved in all stages of rectal cancer with a rate of morbidity and mortality comparable to the results from the literature. Future studies should evaluate outcome and local recurrence in accordance to the degree of TME quality. More... »
PAGES292
http://scigraph.springernature.com/pub.10.1186/2047-783x-15-7-292
DOIhttp://dx.doi.org/10.1186/2047-783x-15-7-292
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/20696640
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