RESEZIONE ANTERIORE NEI CARCINOMI DEL TERZO INFERIORE DEL RETTO

Translated title of the contribution: Low anterior resection for rectal cancer

E. Contessini Avesani, L. Vicentini, F. Botti, F. Lezziero, A. Carrara

Research output: Contribution to journalArticle

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.

Translated title of the contributionLow anterior resection for rectal cancer
Original languageItalian
Pages (from-to)532-535
Number of pages4
JournalChirurgia
Volume4
Issue number10
Publication statusPublished - 1991

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Low anterior resection for rectal cancer'. Together they form a unique fingerprint.

  • Cite this

    Contessini Avesani, E., Vicentini, L., Botti, F., Lezziero, F., & Carrara, A. (1991). RESEZIONE ANTERIORE NEI CARCINOMI DEL TERZO INFERIORE DEL RETTO. Chirurgia, 4(10), 532-535.