The Role Of Lymphodissection In Rectal Cancer Surgery

  • S Navruzov
  • S Abdujapparov
  • E Akbarov
  • B Navruzov
  • H Islamov
Keywords: Lymphodissection, Standard, Extended, Low And Ultralow Colorectal Anastomoses, Rectal Cancer

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 D 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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Published
2010-04-01
Section
Articles