TY  - JOUR
EP  - 359
IS  - 4
JF  - MAGYAR ONKOLÓGIA
AV  - public
SN  - 0025-0244
Y1  - 2003///
TI  - A lokális recidíva okai a végbélrák radikális m?tétei után
SP  - 355
A1  -  H?hn József
A1  -  Varga László Gyula
A1  -  Baradnay Gellért
A1  -  Simonka Zsolt
A1  -  Géczi Tibor
A1  -  Nagy Ferenc
A1  -  Molnár Tamás
A1  -  Maráz Anikó
A1  -  Kahán Zsuzsanna
A1  -  Balogh Ádám
ID  - publicatio12059
N1  - FELTÖLT?: Juhász Györgyi - juhasz.gyorgyi@med.u-szeged.hu
VL  - 47
N2  - The rate of local recurrence (LR) has been 20-40% after resective surgery for rectal cancer by the traditional - Miles or Dixon - operative technics. The authors performed curative resection in 358 patients with rectal cancer in a 10 year period (01.01.1990 - 31.12.2000) in the Surgical Department of Szeged University. Since 01.01.1996 the authors changed this type of surgery for the Heald technics (total mesorectal excision - TME - with sharp dissection, using the UltraCision device) for the surgical treatment of middle or lower third rectal cancer. To compare the results of the two procedures, the authors analysed their material in two periods: Period I: 01.01.1991 - 31.12.1992: 62 patients operated on with the traditional operative technics; LR 15% within 2 years after surgery. Period II: 01.01.1997 - 31.12.1998: 78 patients operated on with the Heald technics (TME with sharp dissection); LR 6.4% within 2 years after surgery. Based on their results, the authors found that the modern operative technics by Heald, used in the second period of the study, was a relevant factor decreasing LR from 15% to 6.4%, while the gender, age of the patients, ratio of the abdominoperineal extirpation versus anterior resection (APRE/AR) and the free margin of more than 3 cm proved to be irrelevant.
UR  - http://publicatio.bibl.u-szeged.hu/12059/
ER  -