[Choice of surgical method in rectal cancer]

Based on randomized study of 589 patients radically operated for rectal cancer, rational surgical policy was developed. Efficacy of rectal resection depending on the approach, scope of mesorectumectomy and anal demucosation was studied, comparison of purulent complications number, sphincter function and early recurrence in 315 patients was carried out. It is demonstrated that methods of rectal resections with lowest per cent of purulent complications lead to the worst functional results and increase number of local recurrences. Differential approach to choice of resection or extirpation method is proposed, clear indications are formulated.