[Total mesorectal excision in the surgical treatment of rectal cancer of middle and distal third of the rectum--precondition for local recurrences].

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%.