Conservative surgery for early cancer of the distal rectum
Citations Over TimeTop 10% of 1992 papers
Abstract
From 1967 through 1988, 36 patients underwent local excision of a distal rectal cancer as an initial operative procedure with curative intent. A diagnostic, preoperative protocol was performed to assess the histologic grade of the tumor, the depth of penetration in the rectal wall, and the presence of positive lymph nodes or distant metastases. All patients had a transanal local excision performed under general anesthesia. If preoperative criteria were not confirmed by histopathologic specimen examination, a major operation was advised. To increase the chance of local control, external adjuvant radiotherapy was used in T2 cancers. Postoperative mortality was 0 percent. The postoperative complication rate was 9.3 percent. The observed local recurrence rate was 3 percent, and the rectal cancer-specific death rate was 6 percent. We compared these results with those obtained in 70 concomitant patients operated on by us employing a traditional resection for Dukes' A rectal cancer. There are no statistically significant differences between groups. In light of our findings, a policy of curative local excision is justified in accurately selected cases of distal rectal cancer.
Related Papers
- → Concomitant Persistent Pain in Classical Trigeminal Neuralgia – Evidence for Different Subtypes(2014)124 cited
- → Hemolytic uremic syndrome in families ? an argentinian experience(1996)3 cited
- → 389: Impact of concomitant operative procedures on left ventricular assist device implantation outcomes(2007)
- Concomitant relationship and clinical significance of the arteries and veins of the hand(2000)
- [Concomitant disorders among the mentally retarded].(1990)