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CC BY-NC-ND 4.0 · South Asian J Cancer 2013; 02(04): 227-231
DOI: 10.4103/2278-330X.119929
THE SKILLFUL SCALPEL: Original Article

Sphincter-saving surgeries for rectal cancer: A single center study from Kashmir

Authors

  • Shabeer Ahmed Mir

    Department of General and Minimal Access Surgery, Colorectal Division, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir

  • Nisar A. Chowdri

    Department of General and Minimal Access Surgery, Colorectal Division, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir

  • Fazl Q. Parray

    Department of General and Minimal Access Surgery, Colorectal Division, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir

  • Parvez Ahmed Mir

    Department of Otorhinolaryngology, SMHS Hospital, Srinagar, Jammu and Kashmir

  • Yasir Bashir

    Department of Internal Medicine, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir

  • Muntakhab Nafae

    Department of General and Minimal Access Surgery, Colorectal Division, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir

Source of Support: Nill.
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Abstract

Summary and Background Data: The goals in the treatment of rectal cancer are cure, local control, and preservation of sphincter, bladder and sexual function. Surgical resection using sharp mesorectal dissection is important for achieving these goals. Objectives: The current treatment of choice for carcinoma rectum is sphincter saving procedures, which have practically replaced the previously done abdominoperineal resection. We performed a study in our institute to evaluate the surgical outcome and complications of rectal cancer. Materials and Methods: This prospectivestudy included 117 patients, treated for primary rectal cancer by low anterior resection (LAR) from May 2007 to December 2010. All patients underwent standard total mesorectal excision (TME) followed by restoration of continuity. Results: The peri-operative mortality rate was 2.5% (3/117). Post-operative complications occurred in 32% of the patients. After a median follow up of 42 months, local recurrences developed in 6 (5%) patients and distant metastasis in 5 (4.2%). The survival rate was 93%. Conclusion: The concept of total mesorectal excision (TME), advances in stapling technology and neoadjuvant therapy have made it possible to preserve the anal sphincter in most of the patients. Rectal cancer needs to be managed especially in a specialized unit for better results.

Key words

Carcinoma rectum - sphincter saving procedure - low anterior resection - total mesorectal excision


Publication History

Article published online:
31 December 2020

© 2013. MedIntel Services Pvt Ltd. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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