Significance of TME technique in the open operations of rectal cancer
AIM:To summarize our chnical experience of using TME technique in the open operatiom of rectal cancer.METHODS:We retrospectively analyzed the clinical and follow-up data of 204 cases of consecutive rectal cancer patients(1998)-04/2006-10)who accepted radical excision under TME principle.RESULTS:There's no operation death.The average operation time is(165±29.5)min and average blood loss during operation is(152±120)mL.The sphincter-preserving operation was performed for 343patients(68.6%).In which,postoperative anastomotic leak and stoma stenosis occurred in 12 patients(3.5%)and 4 patients(0.8%)respectively.Two years follow-up data of the patients shows that there are 29 local recurrence(5.8%),35 bladder dysfunction (7%)and 142 death for progressive disease.CONCLUSION:Cooperating with concepts of sphincter preservation,pelvic autonomic nerve preservation and extended resection,proper using of TME technique Can improve the effect of open operation of rectal cancer.Strictly specification of operative procedure may reduce the morbidity of anastomotic leak and stoma stenosis postoperatively.