Document Detail


Surgical results of total mesorectal excision for rectal cancer in a specialised colorectal unit.
MedLine Citation:
PMID:  15865025     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our aim was to review the results of total mesorectal excision (TME) in a specialised colorectal unit. Perioperative and follow-up data were prospectively collected in a computerised database. A review of all the records was made. The morbidity rate was about 14%, and was higher in patients with coloplasty due to a higher anastomotic leak rate. The local recurrence rate was 2%, the distant metastasis rate was 11%, and both local and distant metastasis occurred in 4%. About 95% of recurrence occurred within 3 years. There was better bowel function in patients with a colonic J-pouch in the first 2 years after surgery, but the advantage disappeared thereafter. There were no differences in function between descending and sigmoid colonic J-pouches. TME in a specialised colorectal unit has low morbidity and mortality. Our procedure of choice is that of a sigmoid colon J-pouch anal anastomosis.
Authors:
KokSun Ho; Francis Seow-Choen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Recent results in cancer research. Fortschritte der Krebsforschung. Progrès dans les recherches sur le cancer     Volume:  165     ISSN:  0080-0015     ISO Abbreviation:  Recent Results Cancer Res.     Publication Date:  2005  
Date Detail:
Created Date:  2005-05-03     Completed Date:  2005-05-20     Revised Date:  2008-02-13    
Medline Journal Info:
Nlm Unique ID:  0044671     Medline TA:  Recent Results Cancer Res     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  105-11     Citation Subset:  IM    
Affiliation:
Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore.
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MeSH Terms
Descriptor/Qualifier:
Colorectal Neoplasms / pathology,  surgery*
Digestive System Surgical Procedures* / adverse effects
Hospital Units
Humans
Neoplasm Recurrence, Local
Postoperative Complications / epidemiology,  pathology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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