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 УЧРЕДИТЕЛИ:
Федеральное государственное бюджетное учреждение науки
"Институт токсикологии Федерального медико-биологического агентства"
(ФГБУН ИТ ФМБА России)

Институт теоретической и экспериментальной биофизики Российской академии наук.

ООО "ИЦ КОМКОН".




Адрес редакции и реквизиты

199406, Санкт-Петербург, ул.Гаванская, д. 49, корп.2

ISSN 1999-6314

Российская поисковая система
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«
Vol. 12, Art. 42 (pp. 495-510)    |    2011       
»

The impact of nerve sparing technique in surgery of complicated cancer of the rectum
Belyaev A.M., Domanskiy А.А., Zaharenko A.A., Surov D.A., Babkov O.V.

N.N.Petrov Research Institute of Oncology, St.-Petersburg
I.I.Djanelidze Research Institute of Emergency Medicine, St.-Petersburg



Brief summary

Purpose: Complicated rectal cancer occurs in 10-15% of cases. Rectal cancer surgery is impaired by a high rate of postoperative urinary dysfunction cause by frequent autonomic nerve injuries. The aim of this study was prospective evaluation of urinary dysfunction after nerve sparing total mesorectal excision in the group of patients with complicated cancer of the rectum. Methods: Seventy three patients with complicated adenocarcinoma of the rectum underwent surgery. The basic group (n=38) underwent autonomic nerve preservation. The control group (n=35) was operated using conventional technique. Urinary function was assessed using the standardized questionnaire. Results: The postoperative urinary dysfunction developed in 21.1% in patients of basic group and in 37.1% in patients of the control group. The degree of expression of urinary dysfunction in basic group was less than in the control. Conclusion: Our data show that the using of nerve sparing technique in comparing with the conventional technique provided decreasing in frequency and expression degree of urinary dysfunction in patients with complicated rectal cancer.


Key words

rectal cancer, nerve sparing surgery, postoperative urinary dysfunction.





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