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[Extended radical resection with nerve-preservation for rectal cancer]
Xin-shu Dong1, Hai-tao Xu, Zhi-gao Li
1Department of Abdominal Surgery, The Tumor Hospital, Harbin Medical University, Harbin 150040, China. doctor1@126.com
Objective:
To investigate the clinical value of extended radical resection with nerve- preservation for rectal cancer.
Method:
Ninety-eight patients with rectal cancer received extended radical resection with nerve- preservation in our hospital. The questionnaire were used to collect the data of the patients urination and sexual function. The survival was analyzed retrospectively.
Results:
62.3% (61/98) of the patients could erect normally and 57.1% (56/98) of the patients had normal sexual function. The average time of catheterization in 57 patients was 60 hours, the residual urine volume (RUV) was 28 ml and the max-micturition-desire urine volume was 400 ml. The 5-year survival rate of those who underwent extended radical resection with nerve-preservation was 61.2%.
Conclusion:
Extended radical resection with nerve-preservation,which could decrease the incidences of post-operative urination and sexual dysfunction, and have not affect the survival, was the most optimal operation for rectal cancer.
