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Volume 26 |
July - September 2010 |
Number 3 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 26 |
July - September 2010 |
Number 3 |
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Changing practice of rectal cancer surgery in Pakistan
Abdul Razaque Shaikh1, Ambreen Muneer2, Zameer Hussain Laghari3
ABSTRACT
Objective: To describe the presentation and pathology of rectal cancer, and to evaluate the local experience after total mesorectal excision at a tertiary care hospital in Pakistan.
Methodology: A retrospective study of two hundred cases of carcinoma rectum that had undergone total mesorectal excision at Liaquat University Hospital Jamshoro Pakistan was carried out from January 1998 to December 2007.The cases were admitted through outpatient and emergency departments. The demographic details of each patient and variables such as clinical presentation, tumor location, Dukes staging, TNM staging, operations and complications were recorded on proformas. Each patient was followed up at two months for one year, every four months for three years and annually thereafter.
Results: Male to female ratio being almost equal 1.6:1, Age ranged from 14-70 years. Site of tumor at upper one third 25%, middle one third 30% and lower one third 45%. Majority of patients (more than 62%) were in Dukes B Group.There were no postoperative deaths, complications occurred in a total of 59 (29.5%) patients, which were mostly colostomy related (13.0%). The abdominal wound infection 5%, anastomotic dehiscence 1.0%, urinary tract infection 5%, and impotence occurred in 1.5%. In 20% patients’ local recurrence was detected.
Conclusion: Total mesorectal excision is a safe and feasible technique for rectal cancer surgery with acceptable perioperative morbidity and adequate local disease control.
KEY WORDS:
Rectal cancer, Total Mesorectal excision, Presentation, Outcome.Pak J Med Sci July - September 2010 Vol. 26 No. 3 601-606
How to cite this article:
Shaikh AR, Muneer A, Laghari ZH. Changing practice of rectal cancer surgery in Pakistan. Pak J Med Sci 2010;26(3):601-606
1. Abdul Razaque Shaikh, FCPS
2. Ambreen Muneer, FRCS
3. Zameer Hussain Laghari FCPS
1-3: Department of Surgery,
Liaquat University of Medical and Health Sciences,
Jamshoro,
Sindh - Pakistan.
Correspondence:
Dr. Ambreen Muneer,
H. No. C 112,
Sharif Square Hussainabad,
Hyderabad – Pakistan.
E-mail: banglani_90@hotmail.com
* Received for Publication: November 12, 2009
* Revision Received: April 13, 2010
* Revision Accepted: April 14, 2010
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