Аннотация:
AIM: To assess safety of rectum removal with distal sacral resection. MATERIAL AND METHODS: The short-term results of surgical treatment of primary and recurrent locally advanced rectal and anal cancer with sacral fixation have been analyzed. 32 patients underwent combined operations with sacral resection at the level of S2-S5. In 12 patients only one point of tumor fixation (F1) was revealed, 10 patients had two points of fixation (F2), three patients had three fixation points (F3) and in 7 cases the tumor was fixed to four points (F4) of fixation to different pelvic structures. RESULTS AND DISCUSSION: Mean intraoperative blood loss and surgery time was 551±81 ml and 320±20 min in cases of sacral fixation only that was significantly lower compared with F2 cases - 1278±551 ml and 433±45 min, F3 cases - 2200±600 ml and 620±88 min, F4 cases - 2157±512.5 ml and 519±52,3 min, respectively (р<0.05). Complications requiring surgical intervention occurred in 9[%] patients (n=3). Among 23 patien
Ключевые слова:
abdominosacral resection; locally advanced rectal cancer; recurrent rectal cancer; sacral resection
abdominal surgery; adenocarcinoma; anus tumor; cancer staging; feasibility study; female; human; male; middle aged; operation duration; pathology; postoperative complication; procedures; rectum tumor; Russian Federation; sacrum; surgical margin; treatment outcome; tumor invasion; tumor recurrence; Adenocarcinoma; Anus Neoplasms; Digestive System Surgical Procedures; Feasibility Studies; Female; Humans; Male; Margins of Excision; Middle Aged; Neoplasm Invasiveness; Neoplasm Recurrence, Local; Neoplasm Staging; Operative Time; Outcome and Process Assessment (Health Care); Postoperative Complications; Rectal Neoplasms; Russia; Sacrum
Царьков П. В. Петр Владимирович 1957-
Ефетов С. К. Сергей Константинович 1985-
Сидорова Л. В.
Тулина И. А. Инна Андреевна 1984-
Tsar`kov P. V. Petr Vladimirovich 1957-
Efetov S. K. Sergej Konstantinovich 1985-
Sidorova L. V.
Tulina I. A. Inna Andreevna 1984-
Sacral resection in surgical treatment of locally advanced primary and recurrent rectal and anal cancer: short-term outcomes [Rezektsiia kresttsa pri khirurgicheskom lechenii mestno-rasprostranennogo pervichnogo i reditsivnogo raka priamoĭ kishki i anal'nogo kanala: neposredstvennye rezul'taty]
Sacral resection in surgical treatment of locally advanced primary and recurrent rectal and anal cancer: short-term outcomes [Rezektsiia kresttsa...
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 7 С. 4-13
2017
Статья
abdominosacral resection locally advanced rectal cancer recurrent rectal cancer sacral resection
abdominal surgery adenocarcinoma anus tumor cancer staging feasibility study female human male middle aged operation duration pathology postoperative complication procedures rectum tumor Russian Federation sacrum surgical margin treatment outcome tumor invasion tumor recurrence Adenocarcinoma Anus Neoplasms Digestive System Surgical Procedures Feasibility Studies Female Humans Male Margins of Excision Middle Aged Neoplasm Invasiveness Neoplasm Recurrence, Local Neoplasm Staging Operative Time Outcome and Process Assessment (Health Care) Postoperative Complications Rectal Neoplasms Russia Sacrum
AIM: To assess safety of rectum removal with distal sacral resection. MATERIAL AND METHODS: The short-term results of surgical treatment of primary and recurrent locally advanced rectal and anal cancer with sacral fixation have been analyzed. 32 patients underwent combined operations with sacral resection at the level of S2-S5. In 12 patients only one point of tumor fixation (F1) was revealed, 10 patients had two points of fixation (F2), three patients had three fixation points (F3) and in 7 cases the tumor was fixed to four points (F4) of fixation to different pelvic structures. RESULTS AND DISCUSSION: Mean intraoperative blood loss and surgery time was 551±81 ml and 320±20 min in cases of sacral fixation only that was significantly lower compared with F2 cases - 1278±551 ml and 433±45 min, F3 cases - 2200±600 ml and 620±88 min, F4 cases - 2157±512.5 ml and 519±52,3 min, respectively (р<0.05). Complications requiring surgical intervention occurred in 9[%] patients (n=3). Among 23 patien