A lokális recidíva okai a végbélrák radikális műtétei után

The rate of local recurrence (LR) has been 20-40% after resective surgery for rectal cancer by the traditional - Miles or Dixon - operative technics. The authors performed curative resection in 358 patients with rectal cancer in a 10 year period (01.01.1990 - 31.12.2000) in the Surgical Department o...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Hőhn József
Varga László Gyula
Baradnay Gellért
Simonka Zsolt
Géczi Tibor
Nagy Ferenc
Molnár Tamás
Maráz Anikó
Kahán Zsuzsanna
Balogh Ádám
Dokumentumtípus: Cikk
Megjelent: 2003
Sorozat:MAGYAR ONKOLÓGIA 47 No. 4
mtmt:1339905
Online Access:http://publicatio.bibl.u-szeged.hu/12059
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520 3 |a The rate of local recurrence (LR) has been 20-40% after resective surgery for rectal cancer by the traditional - Miles or Dixon - operative technics. The authors performed curative resection in 358 patients with rectal cancer in a 10 year period (01.01.1990 - 31.12.2000) in the Surgical Department of Szeged University. Since 01.01.1996 the authors changed this type of surgery for the Heald technics (total mesorectal excision - TME - with sharp dissection, using the UltraCision device) for the surgical treatment of middle or lower third rectal cancer. To compare the results of the two procedures, the authors analysed their material in two periods: Period I: 01.01.1991 - 31.12.1992: 62 patients operated on with the traditional operative technics; LR 15% within 2 years after surgery. Period II: 01.01.1997 - 31.12.1998: 78 patients operated on with the Heald technics (TME with sharp dissection); LR 6.4% within 2 years after surgery. Based on their results, the authors found that the modern operative technics by Heald, used in the second period of the study, was a relevant factor decreasing LR from 15% to 6.4%, while the gender, age of the patients, ratio of the abdominoperineal extirpation versus anterior resection (APRE/AR) and the free margin of more than 3 cm proved to be irrelevant. 
700 0 1 |a Varga László Gyula  |e aut 
700 0 1 |a Baradnay Gellért  |e aut 
700 0 1 |a Simonka Zsolt  |e aut 
700 0 1 |a Géczi Tibor  |e aut 
700 0 1 |a Nagy Ferenc  |e aut 
700 0 1 |a Molnár Tamás  |e aut 
700 0 1 |a Maráz Anikó  |e aut 
700 0 1 |a Kahán Zsuzsanna  |e aut 
700 0 1 |a Balogh Ádám  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/12059/1/0355a.pdf  |z Dokumentum-elérés