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《Chinese Journal of Current Advances in General Surgery》 2009-10
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Clinical reseach of the effect of TME and non-TME on the treatment of rectal cancer

FAN En-xue1,FANG Xue-dong1,SUN Hai-xia1,DING Dao-liang2,JIANG En-wen3 1Clinic Center of General Surgery,the Second Hospital of Jilin University(Changchun 130041,China) 2Department of General Surgery,Hospital of Ji'an,Jilin Province(Ji'an 134200,China) 3Department of General Surgery,the Second Hospital of Jiutai(Jiutai 130515,China)  
Objective:To compare the effect of total mesorectal excision(TME) with the traditional operation pattern.And to explore the application value of TME.Methods:The clinical data of 2 394 patients with rectal carcinoma recepted TME(TME group) was analysed retrospectively.And 2185 patients with rectal carcinoma underwent traditional operation(non-TME group) were assigned as control.The rate of relapse,survival,anastomatic leakage,sexual disfounction,urinary disfounction,anus disfounction and lymph node cleaning of mesentery of rectum were compared between the two groups.Results:The results of TME Group,such as reducing the relapse rate after surgery,3-year and 5-year survival rate,decreasing sexual disfounction and urinary disfunction were much better than those of non-TME group.As to the anastomotic fistula and anus dysfunction rate,TME group was slightly higher than the non-TME group,but there was no statistical significance.The lymph nodes positive detected rate of TME group was 20%,while the removal of mesorectal excision of non-TME group didn’t do the mesenteric lymph nodes cleaning or cleaned thorough enough.Conclusion:TME can reduce the rate of rectal cancer relapse,mortality and some of the complications of rectal cancer surgery.TME is prospective.
【CateGory Index】: R735.37
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