Vîlcea I D, Vasile I, Paşalega M, Calotă F, Mesină C, Scurtu S, Mirea C
Clinica II Chirurgie, U.M.F Craiova.
Chirurgia (Bucur). 2006 Jan-Feb;101(1):25-30.
This paper aim is to analyze the main diagnostic and therapeutic aspects in rectal cancer; for this purpose we analyzed the Craiova's Surgical II Clinic statistics and we report them to the present literature. There were 179 rectal cancers, diagnosed over 10 years period (between 1995 and 2004); 163 cases were operated on, in 62 cases (38.03%) the surgical intervention aim being curative; global resection of tumor was 84.66%. The operation was preceded by preoperative radiotherapy in 82 cases; all cases diagnosed in the last four years in curative stage of disease were treated by preoperative radiotherapy. The postoperative mortality was 3.68% (6 cases) and the morbidity rate (55 cases - 33.74%) is still important, mainly because of the associated diseases. In conclusion we emphasize the importance of untimely diagnosis and the obligatorily sequential treatment: preoperative radiotherapy curative surgical resection - postoperative adjuvant treatment.
本文旨在分析直肠癌的主要诊断和治疗方面；为此，我们分析了克拉约瓦外科第二诊所的统计数据，并将其与当前文献进行汇报。在10年期间（1995年至2004年）共诊断出179例直肠癌；163例接受了手术，其中62例（38.03%）手术干预目的为根治性；肿瘤整体切除率为84.66%。82例患者在手术前接受了术前放疗；在疾病根治阶段最后四年诊断出的所有病例均接受了术前放疗。术后死亡率为3.68%（6例），发病率（55例 - 33.74%）仍然较高，主要是由于合并疾病。总之，我们强调早期诊断的重要性以及必须进行的序贯治疗：术前放疗 - 根治性手术切除 - 术后辅助治疗。
