title: [Prognosis of rectal cancer in relation to the selection of the surgical approaches].
abstract: 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.
authors.affiliation: Department of General Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
authors.forename: Xue-Qing
authors.initials: XQ
authors.lastname: Yao
authors.forename: Xiang-Cheng
authors.initials: XC
authors.lastname: Huang
authors.forename: San-Hua
authors.initials: SH
authors.lastname: Qing
authors.forename: Cheng-Tang
authors.initials: CT
authors.lastname: Wu
authors.forename: Shi-Zhen
authors.initials: SZ
authors.lastname: Zhong
mesh_terms: 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