Abstract
Evidence that the resection of the rectum 2 cm from the neoplasm is enough for oncological purpose and stapled anastomosis enormously increased the conservative surgery of the lower rectum. Thirteen patients with lower rectal cancer (5 to cm 8 from the anal verge) received anterior resection in the period 1980-1990. Intraoperative mortality was 7.7% (1 died for myocardial infarction). We observed 5 early complications (38.4%): 4 incomplete anastomotic leakages (2 treated by temporary colostomy and 2 by local therapy; any definitive colostomy was not necessary) and 1 neuropathic bladder successfully treated by medical therapy. Late complications consisted of 1 anastomotic stenosis (endoscopic treatment) and 3 local recurrences treated again with radical purposes (2 Miles abdominoperineal resections and 1 endoscopic laser therapy). In our opinion anterior resection is the best surgical treatment even for low rectal cancer; it provides a radical therapy, the rate of complications is quite low and an easy correction is possible; finally endoscopy and endosonography permit an early discovering of local recurrences and a radical therapy of them.
| Original language | Italian |
|---|---|
| Pages (from-to) | 532-535 |
| Number of pages | 4 |
| Journal | Chirurgia |
| Volume | 4 |
| Issue number | 10 |
| Publication status | Published - 1991 |
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ASJC Scopus subject areas
- Surgery
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RESEZIONE ANTERIORE NEI CARCINOMI DEL TERZO INFERIORE DEL RETTO. / Contessini Avesani, E.; Vicentini, L.; Botti, F.; Lezziero, F.; Carrara, A.
In: Chirurgia, Vol. 4, No. 10, 1991, p. 532-535.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - RESEZIONE ANTERIORE NEI CARCINOMI DEL TERZO INFERIORE DEL RETTO
AU - Contessini Avesani, E.
AU - Vicentini, L.
AU - Botti, F.
AU - Lezziero, F.
AU - Carrara, A.
PY - 1991
Y1 - 1991
N2 - Evidence that the resection of the rectum 2 cm from the neoplasm is enough for oncological purpose and stapled anastomosis enormously increased the conservative surgery of the lower rectum. Thirteen patients with lower rectal cancer (5 to cm 8 from the anal verge) received anterior resection in the period 1980-1990. Intraoperative mortality was 7.7% (1 died for myocardial infarction). We observed 5 early complications (38.4%): 4 incomplete anastomotic leakages (2 treated by temporary colostomy and 2 by local therapy; any definitive colostomy was not necessary) and 1 neuropathic bladder successfully treated by medical therapy. Late complications consisted of 1 anastomotic stenosis (endoscopic treatment) and 3 local recurrences treated again with radical purposes (2 Miles abdominoperineal resections and 1 endoscopic laser therapy). In our opinion anterior resection is the best surgical treatment even for low rectal cancer; it provides a radical therapy, the rate of complications is quite low and an easy correction is possible; finally endoscopy and endosonography permit an early discovering of local recurrences and a radical therapy of them.
AB - Evidence that the resection of the rectum 2 cm from the neoplasm is enough for oncological purpose and stapled anastomosis enormously increased the conservative surgery of the lower rectum. Thirteen patients with lower rectal cancer (5 to cm 8 from the anal verge) received anterior resection in the period 1980-1990. Intraoperative mortality was 7.7% (1 died for myocardial infarction). We observed 5 early complications (38.4%): 4 incomplete anastomotic leakages (2 treated by temporary colostomy and 2 by local therapy; any definitive colostomy was not necessary) and 1 neuropathic bladder successfully treated by medical therapy. Late complications consisted of 1 anastomotic stenosis (endoscopic treatment) and 3 local recurrences treated again with radical purposes (2 Miles abdominoperineal resections and 1 endoscopic laser therapy). In our opinion anterior resection is the best surgical treatment even for low rectal cancer; it provides a radical therapy, the rate of complications is quite low and an easy correction is possible; finally endoscopy and endosonography permit an early discovering of local recurrences and a radical therapy of them.
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M3 - Articolo
AN - SCOPUS:0025954042
VL - 4
SP - 532
EP - 535
JO - Chirurgia (Turin)
JF - Chirurgia (Turin)
SN - 0394-9508
IS - 10
ER -