The Comparison Of Curative Effect Between Dixon Surgery And Miles Surgery In Low Rectal Cancer

Objective:Compare postoperative recovery after surgery between Dixon and Miles,including the postoperative complications,postoperative hospitalization days,local recurrence rate,distant metastasis rate,quality of the life and 3 year survival rate,to explore the rational treatment in the low rectal cancer(the distance from anus is under 7cm).Methods:Retrospective analysis a total of 167 low rectal cancer patients in surgery treatment in our hospital during January 2009 and December 2011.According to the kind of surgery way, divided into two groups: Dixon group 51 cases and Miles group116 cases.Compare the clinical pathological factors,the postoperative complications,postoperative hospitalization days,local recurrence rate,distant metastasis rate,quality of the life and 3 year survival rate between the two groups,to determine whether there is statistically significant.Results:There is no significant difference between the two groups in the clinical pathological factors,the postoperative complications and postoperative hospitalization and local recurrence rate and distant metastasis rate,either in the 3 year survival rate(Dixon group 68.6% and Miles group 70.7%).But there is signification difference in the quality of life(by PAC-QOL),Dixon group is obviously better than Miles group.Conclusion:There is significant difference in the quality of the life(Dixon group is obviously better than Miles group),but in the terms of the postoperative complications,postoperative hospitalization days,local recurrence rate,distant metastasisrate,and 3 year survival,there is no significant difference.So if we can guarantee the radical resection in those low rectal cancer patients who are diagnosed,Dixon surgery is better.