En bloc •pelvic Lymphadenectomy in the . Surgical Management of Rectal Carcinoma

Abstract

Rectal Cancer is ranked the fourth among other malignancies cording to the hospital based registry with an incidence of 3 % , it )resents 16.1% of the malignant tumours of the digestive organs. The Male/

male ratio is 1.9 with mean age 45 years.

The clinical presentation varies relatively according to the

)rphology of the tumour. Bleeding occurs in 55% of patients, tenesmus in

%. obstruction in 9% while other symptoms in 2% of cases.

In Egypt, Bilharziasis is a major health problem among Egyptians it is the most frequent endemic parasitic disease, with an overall 9valence rate of 37 - 48%, and an early age of onset. Despite the

evalence of Bilharzia! disease no

oetiological relation has been

arly provided between bilharziasis and rectal cancer similar to that

1served in bladder cancer.

Other precancerous lesions as FAP and ulcerative colitis are rarely

1counted among Egyptian patients received at the department of surgery -

'm January 1995 to June 1998.

A total of 50 consecutive patients with advanced mid and low rectal J.ncer underwent curative resection with lateral node dissection together ith autonomic nerve preservation were reviewed in respect to patient 1aracteristics , Pathological criteria , node status, operative morbidity as well

; overall survival and mode of local recurrence. The operative time and