[Efficacy of local resection on lower rectal cancer of early stage: efficacy of report of 23 cases].
OBJECTIVE
The trans-anal local excision for lower rectal cancer of early stage may achieve the same therapeutic effect as abdominal resection. This study was to evaluate efficacy of local resection for lower rectal cancer of early stage.


METHODS
Records of 23 patients with lower rectal cancer of early stage received local excision from Feb. 1989 to Apr. 1999 in our hospital were analyzed retrospectively.


RESULTS
Of the 23 patients,12 were adenocarcinoma, and 11 were canceration of adenoma; 17 with tumor of stage T0, and 6 with tumor of stage T1. Three patients had local recurrence, 2 of 3 were salvaged by trans-anal local excision, and 1 of 3 was treated by abdominoperineal resection. All patients were followed-up for more than 5 years with a 5-year survival rate of 95.65%.


CONCLUSIONS
So long as carefully considering indications of trans-anal local excision in treating patients with lower rectal cancer of early stage, good efficacy may be achieved.
Hong
Jian
J
Department of Abdominal Surgery, Tumor Hospital of Guangzhou City, Guangzhou, Guangdong 510-095, P.R. China. hongjian6@tom.com
Tang
Yun-Qiang
YQ
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000236:Adenoma / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009367:Neoplasm Staging; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome