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KMID : 0378019890320100049
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New Medical Journal
1989 Volume.32 No. 10 p.49 ~ p.56
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Low Anterior Resection with EEA Stapler for Rectal Cancer
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Abstract
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19 Patients of rectal cancer from April 1985 to December 1987 at Chosun University hospital had low anterior resection with EEA stapler.
Clinical results was as follows;
1) Most prevalent age group was 4th and 5th decade (63.2%) . The ratio of male to female was 1.1:1.
2) The most common site of the tumor was midrectal region(4-8cm from the anal verge) and 12 cases(63.2%) were in this location.
3) The duration of symptoms and signs prior to admission was less than 3 months (36.8% ) in 7 cases.
4) The most common complaints were gross blood in stool in 14 cases (73.3%) and Change in bowel habits in 11 cases(57.9%).
5) In diagnosis, diagnostic approach was made by sigmoidoscopy with biopsy in 15 cases (89.5%) and rectal examination in 13 cases (68.4%) , barium study, colonoscopy, computerized tomography and IVP with cystoscopy.
6) End to end anastomosis was performed in 17 cases ( 89.5%) and side to end anastomosis was in 2 cases (10.5%) .
7) The resected margin below the distal margin of the tumor was as follows ;
4 cases (21.1%) in 1-2cm, 13 cases (68.4%) in 3-4cm and 2 cases (10.5%) in above 5cm.
8) Adenocarcinoma was the most common histological type in 18 cases (94.7%) villous
adenoma was 1 case.
9) Distribution of patients according to modified Dukes classification was as follows ;
Dukes´ A(10.5%), Dukes´ B(42.1%), Dukes´ C(26.3%) and Dukes´ D(21.1%).
10) The mostcommon postoperative complication was noted in 2 cases (10.5%) which were anastomotic leakage with local abscess formation.
11) The distant metastasis was liver in 2 cases (10.5%) and pelvic organ in 2 cases. 12) The relation between local recurrence and distal rectal margin was as follows ; 2 cases (10.5%) in 1-2cm, 1 case (5.3%) in 3 -4cm.
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