The Role Of Lymphodissection In Rectal Cancer Surgery
Abstract
Aim of investigation: to study immediate and remote results of standard and extended lymphodissection in patients with rectal cancer.
Material and methods: 132 patients with rectal cancer were performed radical surgery with lymphodissection in D2 and D3 volume according to a height of tumor location.
Results: in immediate post-operated period there were noted complications in 4 patients that made up 3,03%. Observation time was 5 years. Tumor recurrence was reported in 5 patients (3,8%). In remote period metastases were revealed in 8 patients (6,6%). 5- year total survival rate was 78,5±4,2% at stage II. 5- year total survival rate was 56,4±3,7% at stage III. Comparing the results of standard and extended lymphodissection it was noted statistically authentic increase of 5- year survival rate in patients at stage III.
Conclusion: obtained data allow to come to the conclusion about reasonability of performance of different variants of lymphodissection for patients with rectal cancer at stages II and III.
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