Digital Repository

Result of trans-anal inter-sphincteric resection(taisr) combined with total mesorectal excision (ime) and colo- anal anastomosis for distal rectal cancer

Show simple item record

dc.contributor.author Deen, K.I.
dc.contributor.author Rajendra, S.
dc.contributor.author Hewavisenthi, J.
dc.contributor.author Perera, M.T.P.R.
dc.contributor.author Satheesan, B.
dc.date.accessioned 2019-02-18T08:35:17Z
dc.date.available 2019-02-18T08:35:17Z
dc.date.issued 2003
dc.identifier.citation The Annual Sessions of the College of Surgeons of Sri Lanka and SAARC Surgical Care Society.2003, P. 164 en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/19945
dc.description Free Papers Abstract, The Annual Sessions of the College of Surgeons of Sri Lanka and SAARC Surgical Care Society,13rd -17th August 2003 Kandy, Sri Lanka. en_US
dc.description.abstract INTRODUCTION: The treatment of distal rectal cancer is controversial. Most prefer abdomino-perineal excision because of the potential for wide local clearance. Staplers have limitations in restorative resection for distal rectal cancer. OBJECTIVE: To audit the results ofcombinning TAISR with TME and handsewn colo-anal anastomosis for distal rectal cancer. METHODS: I 08 Patients (45 male, median age 59 years, range -22-87) with rectal cancer underwent abdomino-perineal resection -15 ( 14%), Hartmann's procedure - 7 (6.5%), anterior resection -39 (36%) and anterior resection or total colectomy with TAISR and colo-anal anastomosis -47 (43.5%). TAISR was undertaken for tumours between O and 7 ems from the anal verge for rectal cancer with familial polyposis. Data sought were; overall survival, local clearance (RO- clear margins; R l-at least one involved margin) and local recurrence at 24 month median follow up (range- 5 -89 months). Data in the TAISR group were compared with the rest by the test for proportions. Significance was assigned to p<0.05. RESULTS: For the entire group, operative 30-day mortality was 4.6%. Overall disease related mortality at 24 months was 18%. For the entire group, curative resection (RO) was achieved in 93(86%) { TAISR- 39 of 47 (83%) vs. resection without TAJSR- 54 of61(88.5%)- P>0.05}. Overall, local recurrence was seen in 8 (7.4%) {TAISR - 4 of 47 (8.5%) vs. resection without TAISR- 4 of 61 (6.5%). CONCLUSION: There was no significant difference in achievement of free resection margins and local recurrence, in the-short-term, employin anal inter-sphincteric resection with TME for distal rectal cancer co with resection for proximal rectai cancer. Trans-anal inter-sphincteric r with TME for distal rectal cancer is safe in trained hands and should preferred choice in surgical management of distal rectal cancer. en_US
dc.language.iso en en_US
dc.publisher The College of Surgeons of Sri Lanka and SAARC Surgical Care Society en_US
dc.subject Distal rectal cancer en_US
dc.title Result of trans-anal inter-sphincteric resection(taisr) combined with total mesorectal excision (ime) and colo- anal anastomosis for distal rectal cancer en_US
dc.type Conference abstract en_US


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

  • Conference Papers
    Papers presented at local and international conferences by the Staff of the Faculty of Medicine

Show simple item record

Search Digital Repository


Browse

My Account