LA PROCTECTOMIA RESTAURATIVA NELLA CHIRURGIA AVANZANTA DEL CANCRO DEL RETTO

Translated title of the contribution: Restorative proctectomies in surgery for rectal cancer

F. Prete, C. Caliandro, A. Besozzi, S. Diotaiuti, V. Sciscio, S. Montemurro

Research output: Contribution to journalArticlepeer-review

Abstract

From a pool of 457 patients affected by rectal cancer, operated by the same surgeon in ten years, the authors consider the group of 129 total restorative proctectomies (TRP) with colo-ano anastomoses (CAA), looking for the effects of global exeresis of the mesorectum on the prognosis. TRP was performed with curative intention (RO: 125). The CAA was mechanical, end-to-end type since 1989 and side-to-end type in the following years. Operative mortality (30 days) was 3 patients (2.3%); two of them died from anastomotic leakage. The main cause of mortality was the leakage (with clinical effects or radiological only) that, in total, was 16.2% (23.4% in the end-to-end group, 10% in the side-to-end group). The haemorrhages were 3,8%, the stenoses were 4.6%. Continence, clinically assessed, is complete in one year in 85% of the disease-free patients, and it is more rapid and complete in CAA mechanically side-to-end performed. We did a follow-up of all patients. The pelvic recurrence index after 18 months of follow-up is 8%. The global actuarial survival after 5 years is 79% with variations that go from 91% at stage 1 to 53,8% at stage IV. These results, in agreement with the more recent studies, confirm the importance of the global exeresis of mesorectum to improve the curative possibility in rectal cancer surgery.

Translated title of the contributionRestorative proctectomies in surgery for rectal cancer
Original languageItalian
Pages (from-to)193-198
Number of pages6
JournalChirurgia
Volume7
Issue number4
Publication statusPublished - 1994

ASJC Scopus subject areas

  • Surgery

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