Sphincter-saving surgeries for rectal cancer: A single center study from Kashmir

Area of Science:

• Oncology
• Surgical Gastroenterology
• Rectal Cancer Treatment

Background:

• Effective rectal cancer treatment aims for cure, local control, and preservation of vital functions.
• Sharp mesorectal dissection is crucial for achieving optimal surgical outcomes.

Purpose of the Study:

• To evaluate the surgical outcomes and complications associated with rectal cancer treatment.
• To assess the efficacy of sphincter-saving procedures in rectal cancer management.

Main Methods:

• A prospective study involving 117 patients with primary rectal cancer.
• All patients underwent low anterior resection (LAR) with standard total mesorectal excision (TME).

Main Results:

• The peri-operative mortality rate was 2.5%, with post-operative complications in 32% of patients.
• After a median follow-up of 42 months, local recurrence was 5% and distant metastasis was 4.2%.
• The overall survival rate was 93%.

Conclusions:

• Total mesorectal excision (TME) and advancements in surgical techniques enable successful sphincter preservation in most rectal cancer cases.
• Specialized management in dedicated units is recommended for improved rectal cancer treatment results.