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Higher Risk of Incomplete Mesorectal Excision and Positive Circumferential Margin in Low Rectal Cancer Regardless of Surgical Technique by Alexander Ferko; Julius Orhalmi; Tomas Dusek; Milan Chobola; Eva Hovorkova; Dimitar Hadzi Nikolov is a Medicine article available to read on EtoBox.

What is Higher Risk of Incomplete Mesorectal Excision and Positive Circumferential Margin in Low Rectal Cancer Regardless of Surgical Technique about?

## Introduction Currently, the predominant question is whether a laparoscopic approach is comparatively radical in comparison with an open access approach, especially in the circumferential resection margin and quality of the completeness of total mesorectal excision. These factors are important in determining the quality of surgical care as well as long-term results of the treatment. ## Aim This article focuses on the evaluation of circumferential resection margins and on the quality of mesorectal excision of middle and lower rectum tumors. In addition, laparoscopic and open techniques are compared. ## Material and methods Data were collected prospectively and stored in a rectal cancer registry over a 3-year period. The parameters studied were age, sex, body mass index, localization and topography of the tumor, clinical stage, neoadjuvant chemotherapy and its response, the type of surgery, character of the circumferential and distal margins, quality of the mesorectal excision, pT and pN. ## Results One hundred and twenty-five patients were chosen for our study. Laparoscopy was performed in 53 operations and a conventional approach was performed in 72 operations. Complete mesorecta

Who reads Higher Risk of Incomplete Mesorectal Excision and Positive Circumferential Margin in Low Rectal Cancer Regardless of Surgical Technique?

Author

Alexander Ferko; Julius Orhalmi; Tomas Dusek; Milan Chobola; Eva Hovorkova; Dimitar Hadzi Nikolov

Publisher

Termedia Publishing House; Termedia Sp. z.o.o.; Termedia Publishing House Ltd. (ISSN 1895-4588)

Published

2014

Language

EN

Field

Medicine (Health Sciences)