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KMID : 0356719990150020107
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Journal of the Korean Society of Coloproctology
1999 Volume.15 No. 2 p.107 ~ p.111
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Total Mesorectal Excision: Is It a Valid Prognostic Factor for Recurrence?
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Woo Seok
Suh Kwang-Wook
Cho Yong-Kwan
Kim Myung-Wook
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Abstract
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Purpose: This study was aimed to identify whether total mesorectal excision (TME) is a valid prognostic factor for recurrence following curative surgery for rectal carcinoma.
Methods: For 110 high-risk rectal carcinoma patients, recurrence rate and patterns of re currence were compared between patients undergoing TME and those with classical dis section.
Results: Both local recurrence and distant metastasis were significantly lower in TME group than those in classical dissection group. Time interval from operation to the initial recurrence was also significantly delayed in TME group. By comaparing with other prognostic variables, TME was found to be a significant prognostic factor for the recur rence.
Conclusion: We think TME is an important prognostic factor for the recurrence following curative resection in rectal carcinoma.
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KEYWORD
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Total mesorectal excision, Rectal carcinoma, Recurrence
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