[Prognosis of rectal cancer in relation to the selection of the surgical approaches].
OBJECTIVE
To investigate the prognostic significance of surgical approach selection in patients with rectal cancer.


METHODS
A retrospective analysis of the relation of surgical approach selection to the prognosis was conducted in 112 cases of rectal cancer between July 2000 to June 2002.


RESULTS
In this group of cases, local resection of the tumor was performed in 10 cases, Dixon operation in 75 cases and Miles operation in 27 cases. A total of 106 patients survived the operations with 10 had tumor recurrence (a recurrence rate of 8.93 %). All the 10 patients receiving local resection of the tumor survived without episodes of tumor recurrence or metastasis. After the operations, 101 patients (90.18 %) retained normal sexual function and 109 (97.32 %) were with normal urinary function.


CONCLUSIONS
The postoperative quality of life of the patients with rectal cancer very much relies on the selection of adequate surgical procedures.
Yao
Xue-Qing
XQ
Department of General Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
Huang
Xiang-Cheng
XC
Qing
San-Hua
SH
Wu
Cheng-Tang
CT
Zhong
Shi-Zhen
SZ
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D011379:Prognosis; D011788:Quality of Life; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D012189:Retrospective Studies