[Comparison of local recurrence of rectal cancer after two radical operations using total mesorectal excision].
OBJECTIVE
To compare the difference in local recurrence Dixon and Miles groups after total mesorectal excision.


METHODS
One hundred and seventy-three patients with rectal cancer were divided into two groups (Dixon group, 123 patients; Miles group 50 patients). Total mesorectal excision was made according to Heald's method.


RESULTS
The local recurrence in the Dixon and Miles groups was 4.8% (6/123) and 18.0% (9/50) respectively (P < 0.05), and in the Miles group before and after 1997 was 36.8% (7/19) and 6.5% (2/31) respectively (P < 0.05), 4.8% in LRR (P < 0.01). No significant difference was observed in the local recurrence between the two groups (P > 0.05).


CONCLUSIONS
Total mesorectal excision is an important factor reducing local recurrence after radical operation for rectal cancer.
Chi
Pan
P
Department of General Surgery, Union Hospital of Fujian Medical College, Fuzhou 350001, China.
Lin
Huiming
H
Chen
Yanchang
Y
Chen
Daliang
D
D000328:Adult; D000368:Aged; D003107:Colorectal Surgery; D005260:Female; D006801:Humans; D008297:Male; D008643:Mesentery / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*