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Sphincterpreserving Operations in Lower Ampullar Cancer of the Rectum

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Author(s): A.M. HAKIMOV | H.B. BOBOKULOV

Journal: European Medical, Health and Pharmaceutical Journal
ISSN 1804-5804

Volume: 1;
Start page: 13;
Date: 2011;
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Keywords: COLORECTAL CANCERL | SPHINCTERPRESERVING OPERATION | COMBINED THERAPY

ABSTRACT
The Purpose of the study: define the indications andcontraindications to sphincterpreserving operation inlowerampullar cancer of rectum.The Materials and methods: In coloproctological branch ofNational Oncological Scientific centre (NOSC) in 20052009years 142 patients were performed radical operations, 64(45,1%) patients were performed sphincterpreservingoperations – abdominoanal resection of rectum (AARR),medium age of patients 59,8years, beside 78 (54,9%)patients were performed abdomeno perinealextirpationof rectum (APER), medium age 54,2years.The Results: Studied results of the morphological researchof removed preparation by histological structure of tumorsand by form of the growing, depending on locations of thetumors on toothed line.The remote postoperative results studied beside 51 (79,7%)patient with AARR and beside 63 (80,1%) patients withAPER.The Findings: sphincterpreserving operations (SPO) of therectum can be the operation of the choice in treatment ofhigh differentiated adenocarcinoma (HDA) and mediumdifferentiated adenocarcinoma (MDA) in stages T23inlocalization of the lower pole of tumors, not below 1centimeter of toothed line (TL) and carries combinedcharacter, in location of the lower edge of tumors on toothedline in patients with HDAMDA in 4% and 2,2% cases are shown that completingintrasphincternal resections of rectum, in connection withparticular aggressiveness LDA question about choice of themethod of the treatment under their localizations directly onTL must be solved in favour of complete APER, in exophytictumor located onto and above TL is indication forsphincterpreserving operation in type of AARR, indicesrecurrencefreeand not metastatic period, oneyeardeathrate,threeyearsurvivability after SPO at inferior ampularcancer of rectum has not an essential distinction from resultsafter APER.
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