[Surgical treatment of carcinoma of the middle and lower rectum. Report of 949 cases].
Carcinoma of the rectum in 949 cases (484 cases of middle rectum and 465 cases of lower rectum) was resected from 1954 to 1986. There were 296 (31.99%) cases of sphincter-saving resection (SSR). The results of SSR before 1980 were compared with those after 1980. The operative mortality of curative resection decreased from 1.52% to 0.34%. The overall survival rate was 74.20 +/- 2.16% (life table method), for abdominoperineal resection (A-P resection) was 61.67 +/- 3.62% and for SSR was 84.12 +/- 2.40% Respectively. The local recurrence after curative resection in all cases was 14.02%, after A-P resection-15.44%, and after SSR-10.92%. The local recurrence after SSR before 1980 was just the same as after 1980. The results in this series showed the rationality of SSR in the treatment of carcinoma of the middle and lower rectum.
Yu
B M
BM
Rui Jin Hospital, Shanghai Second Medical University.
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D002288:Adenocarcinoma, Mucinous / Q000401:mortality / Q000601:surgery; D001003:Anal Canal / Q000601:surgery; D002291:Carcinoma, Papillary / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000379:methods / Q000401:mortality; D015996:Survival Rate