engleski

IMPACT OF THE INTRODUCTION OF TOTAL MESORECTAL EXCISION ON RECURRENCE AND SURVIVAL IN RECTAL CANCER IN THE DEPARTMENT OF SURGERY, CLINIC HOSPITAL „ SESTRE MILOSRDNICE“

Management of rectal cancer has remained a challenge since Miles’ initial description of abdominoperineal resection. Tremendous efforts have been made to preserve the sphincter function and to reduce the incidence of local recurrence in patients with rectal cancers. Local recurrence remains a significant problem in the management of rectal cancer. The reported incidence of local recurrence varies from 2.6% to 29.8%. Since Heald and colleagues firstly published their results of mesorectal excison during surgery for rectal cancer in 1982, the “ en-bloc” dissection of the rectum and entire mesorectum (total mesorectal excision, TME) has become the “ gold standard” in rectal cancer surgery. Heald and colleagues achieved a local recurrence rate of less than 4%, while other authors confirmed good local control and have reported local recurrence rates below 10% after TME. The aim of this study was to assess the effect of the introduction of TME on outcome of rectal cancer in our institution.

mesorectal excision; survival; rectal cancer; recurrence

nije evidentirano