Tratamento cirúrgico do câncer colorretal: série histórica de três anos de um serviço em Salvador, Bahia

Abstract

The low number of registration of colorectal cancer cases in Brazil has shown the difficulty in understanding the epidemiology of this disease, thus leading to a poor government planning for early diagnosis. The aim of this study was to report the cases of a service in Salvador during three years and compare it with the national literature data. The data were analyzed, and we found similarity to the Brazilian literature: higher incidence among females (53.7%), mean age of 57 years at diagnosis. Stage III was observed in 40.4% of patients, and retossigmoidectomy surgery was most often performed (54%). This study showed epidemiological characteristics of the population of Bahia, being observed late diagnosis of the disease and the need for investment in early detection.

Transanal Endoscopic Proctectomy: a new approach to the total excision of the mesorectum

“…It is known that 25% of CRC cases are located in the rectum. 1,2 In 1982, Heald et al proposed a standardization of total excision of mesorectum (TEM), whose initial results were surprising in terms of local recurrence. 3 Through standardization of the technique, these authors managed to reduce local recurrence to less than 10% and increase the overall survival for 80%.…”