The comparative analysis of results of an anterior and lower anterior resection at rectal malignant tumors

##plugins.themes.bootstrap3.article.main##

Е. Г. Азимов
А. Е. Намазов

Abstract

The objective: the assessment of expediency of use of laparoscopic technologies in performing total mesorectal excision (TME) concerning rectal cancer and increase in efficiency of treatment and quality of life in patients with rectal cancer by improvement of the direct and remote results of the surgical and combined treatment due to performance of TME.

Patients and methods. There were 103 patients under observation with the established diagnosis «rectal cancer». Patients were divided  into 2 groups: patients to whom TME was performed by a laparoscopic method, (n=47) and patients to whom TME was performed by an open way (n=56). Depending on quality of TME, investigated distributed on 3 subgroups: 1) good (grade 3), 2) satisfactory (grade 2), unsatisfactory (grade 1).

Results. According to our observations, quality of TME, i.e. conservation of a mesorectal fascia, depends on localization of tumor in relation to a rectal sphincter and on a tumor stage. Correctly performed TME (both laparoscopic, and open) is the main method of treatment preventing development of a local recidive. At poorly performed TME the probability of a local recidive makes 16,7% (for open method) and 11,1% (for laparoscopic method)

Conclusion. High quality of performance of TME sufficiently reduces risk of emergence of a local recidives. At low located tumors in T3 stage, and particularly in T4, in connection with decline in quality of TME it is recommended to give preference to an open method of an operative measure. In other cases there is no basic difference between quality of TME at a laparoscopic and open method.

##plugins.themes.bootstrap3.article.details##

How to Cite
Азимов, Е. Г., & Намазов, А. Е. (2017). The comparative analysis of results of an anterior and lower anterior resection at rectal malignant tumors. Family Medicine, (3(71), 151–155. https://doi.org/10.30841/2307-5112.3(71).2017.116909
Section
Oncology
Author Biographies

Е. Г. Азимов, Азербайджанский Медицинский Университет, клиника «Elmed», г. Баку

E.H. Azimov

А. Е. Намазов, Азербайджанский Медицинский Университет, клиника «Elmed», г. Баку

A.E. Namazov

References

Азимов Э.Г. Осложнения раннего периода после передней и передне-нижней резекции при злокачественных образованиях прямой кишки // Хирургия. – 2017. – No 1. – С. 61–66.

Азимов Э.Г. Место радиотерапии в комплексном лечении рака прямой кишки // Здоровье. – 2017. – No 1. – С. 33–39.

Азимов Э.Г. Осложнения, возникающие при стомах, произведенных при передней и нижне передней резекциях по поводу злокачественных образований прямой кишки // Современные достижения азербайджанской медицины. – 2017. – No 1. – С. 51–55.

Чиссов В.И., Старинский В.В., Петрова Г.В. Злокачественные новообразования в России в 2001 году (заболеваемость и смертность). – М., 2003. – 284 с.

Chiappa A.Biff. R., Bertoni E. Surgical outcomes after total mesorectal excision for rectal cancer // J.Surg.Ongol. – 2006. – V. 9. – Р. 182–193.

Law X.L., Ho JW, Chan R. Outcome of anterior resection for stage II rectal cancer without radiation: the role of adjuvant chemotherapy //Dis Colon. Rectum 2005 V. 48. – P.218–226.

Wibe A., Carlsen E. Dahl. O et.al. Nation wide quality assurance of rectal cancer treatment // Colorectal Dis. 2006. – N 8. – P. 224–229.

Nagtegaal JD., Van de Velde C.J,Marijnen C.A.et.al. Low rectal cancer: a call for a change of approach in abdominoperineol resection // J. Oncol. 2005 N23 p.92 57-64.