Sphincter-saving surgeries for rectal cancer: A single center study from Kashmir

Abstract Summary and Background Data: The goals in the treatment of rectal cancer are cure, local control, and preservation of sphincter, bladder and sexual function. Surgical resection using sharp mesorectal dissection is important for achieving these goals. Objectives: The current treatment of cho...

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Published in:	South Asian journal of cancer Vol. 2; no. 4; pp. 227 - 231
Main Authors:	Mir, Shabeer Ahmed, Chowdri, Nisar A., Parray, Fazl Q., Mir, Parvez Ahmed, Bashir, Yasir, Nafae, Muntakhab
Format:	Journal Article
Language:	English
Published:	A-12, 2nd Floor, Sector 2, Noida-201301 UP, India Thieme Medical and Scientific Publishers Pvt. Ltd 01-10-2013 Medknow Publications & Media Pvt Ltd
Subjects:	Carcinoma rectum low anterior resection sphincter saving procedure THE SKILLFUL SCALPEL: Original THE SKILLFUL SCALPEL: Original Article total mesorectal excision Carcinoma rectum low anterior resection sphincter saving procedure total mesorectal excision
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Summary:	Abstract Summary and Background Data: The goals in the treatment of rectal cancer are cure, local control, and preservation of sphincter, bladder and sexual function. Surgical resection using sharp mesorectal dissection is important for achieving these goals. Objectives: The current treatment of choice for carcinoma rectum is sphincter saving procedures, which have practically replaced the previously done abdominoperineal resection. We performed a study in our institute to evaluate the surgical outcome and complications of rectal cancer. Materials and Methods: This prospectivestudy included 117 patients, treated for primary rectal cancer by low anterior resection (LAR) from May 2007 to December 2010. All patients underwent standard total mesorectal excision (TME) followed by restoration of continuity. Results: The peri-operative mortality rate was 2.5% (3/117). Post-operative complications occurred in 32% of the patients. After a median follow up of 42 months, local recurrences developed in 6 (5%) patients and distant metastasis in 5 (4.2%). The survival rate was 93%. Conclusion: The concept of total mesorectal excision (TME), advances in stapling technology and neoadjuvant therapy have made it possible to preserve the anal sphincter in most of the patients. Rectal cancer needs to be managed especially in a specialized unit for better results.
ISSN:	2278-330X 2278-4306
DOI:	10.4103/2278-330X.119929