title: [Improving results of the surgical treatment of rectal cancer in the Surgical Department of County Hospital, Szekszárd].
abstract: The authors present that 247 elective rectal operations were performed between 1 January, 1996 and 31 December, 2001 in their surgical department. The examined 6 years were divided into a 4-year and a 2-year period. 148 operations were performed in the first and 99 in the second period. Beside personal changes, methodical and technical modifications were introduced in the second period. Distribution of age and sex was similar, and the groups were comparable. The early postoperative mortality rate decreased from 9% to 4% during the examined time. Due to the double stapling technique, the rate of anterior rectal resections has increased from 40% to 69%, and the rate of abdomino-perineal rectal extirpation has decreased from 43% to 23%. Considerable difference was found in the rate of palliative stoma-creation operations, since the 16% decreased to 8% in the second period, so the quality of life of patients has improved. The operative time, the hospital stay of the patients and the rate of operations with blood transfusion decreased. The different types of postoperative infections decreased due to the new methods.
authors.affiliation: Sebészeti Osztály, Tolna megyei Onkormányzat Balassa János Kórháza, Szekszárd 7100, Hungary. zollei@tmkorhaz.terrasoft.hu
authors.forename: István
authors.initials: I
authors.lastname: Zöllei
authors.forename: Attila
authors.initials: A
authors.lastname: Gyôri
authors.forename: Gábor
authors.initials: G
authors.lastname: Wéner
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D019072:Antibiotic Prophylaxis; D005260:Female; D006766:Hospitals, County / Q000706:statistics & numerical data; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000401:mortality* / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D016019:Survival Analysis; D013927:Thrombosis / Q000517:prevention & control; D016896:Treatment Outcome