Comparison of local recurrence of rectal cancer after two radical operations using total mesorectal excision / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To compare the difference in local recurrence Dixon and Miles groups after total mesorectal excision.</p><p><b>METHODS</b>One hundred and seventy-three patients with rectal cancer were divided into two groups (Dixon group, 123 patients; Miles group 50 patients). Total mesorectal excision was made according to Heald's method.</p><p><b>RESULTS</b>The local recurrence in the Dixon and Miles groups was 4.8% (6/123) and 18.0% (9/50) respectively (P < 0.05), and in the Miles group before and after 1997 was 36.8% (7/19) and 6.5% (2/31) respectively (P < 0.05), 4.8% in LRR (P < 0.01). No significant difference was observed in the local recurrence between the two groups (P > 0.05).</p><p><b>CONCLUSION</b>Total mesorectal excision is an important factor reducing local recurrence after radical operation for rectal cancer.</p>