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- W2393282454 abstract "Objective To study the clinical effcacy of anus-preserving procedures by casing anastomosis of the colon and rectal mucosa and by a stapling device.Methods A retrospective analysis was made on 333 patients with middle-low rectal cancer,of whom 231 patients including 137 males and 94 females (mean 59.6 years)were subjected to the procedure of casing anastomosis.According to Dukes stage classification, 79 patients belonged to stage A,127 stage B,23 stage C,and 2 stage D.With a stapling device, anterior excision was performed in 102 patients including 53 males and 49 females or 23 with stage A,59 stage B,16 stage C,and 4 stage D.Results The follow up rate was 84.6%(282/333),and the median time of follow up was 6.7 years.For the group of casing anastomosis,the follow up rate was 85.3%(197/231),and complications included stoma leak in 3(1.2%)patients and stoma stenosis in 8(3.4%).Local recurrence rate was 5.1%(5/197).The rates of hepatic and lung metastases were 15.2%(30/197)and 2.0%(4/197)respectively.The five year survival rate was 71.6%.For the group of stapling device,the follow up rate was 83.3%(85/102),and postoperative complications included stoma leak in 4(3.9%)patients and stoma stenosis in 2(1.9%).The local recurrence rate was 5.8%(5/85), and the rate of hepatic and lung metastasis was 16.4%(14/85)and 2.3%(2/85)respectively.And the five year survival rate was 69.5%.Defecation in all patients in the two groups normalized in 12-24 weeks after operation,about 1-3 times per day.Conclusions Both procedures of easing anastomosis and stapling device are safe and efficacious in the treatment of rectal cancer.They are useful for anus-preserving operation and keep defecation normal.With the procedures,the life quality of patients with rectal cancer can be improved, with a low local recurrence and a guaranteed five-year survival rate." @default.
- W2393282454 created "2016-06-24" @default.
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- W2393282454 date "2007-01-01" @default.
- W2393282454 modified "2023-09-26" @default.
- W2393282454 title "Radical excision and anal preservation in 333 cases of middle-low rectal cancer" @default.
- W2393282454 hasPublicationYear "2007" @default.
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