Damianov N
Khirurgiia (Sofiia). 2003;59(1-2):35-8.
The author presents his own results of surgical treatment of 54 patients with rectal carcinoma. The point of view is total mesorectal excision as a condition for reducing of local recurrence. The anatomic preconditions and the surgical technics for total mesorectal excision are described. The observing of the rules of an ablastic surgical intervention with exact total mesorectal excision follow to an increase of the treated patients with restorative anastomoses (70%), in spite of the the fact that 75% of the patients are with tumor located at the distal third of the rectum. The postoperative mortality is 3.7% and the local recurrencies are 7.4%.
作者展示了其对54例直肠癌患者进行手术治疗的结果。观点是将全直肠系膜切除术作为降低局部复发的条件。描述了全直肠系膜切除术的解剖学前提和手术技巧。尽管75%的患者肿瘤位于直肠远端三分之一处，但遵循精确全直肠系膜切除术的非消融性手术干预规则，接受恢复性吻合术的治疗患者比例增加（70%）。术后死亡率为3.7%，局部复发率为7.4%。
