The influence of type of operation for distal rectal cancer: Survival, outcomes, and recurrence

Antonio Chiappa, Roberto Biffi, Andrew P. Zbar, Emilio Bertani, Fabrizio Luca, Ugo Pace, Francesca Biella, Carmine Grassi, Giulia Zampino, Nicola Fazio, Giancarlo Pruneri, Davide Poldi, Marco Venturino, Bruno Andreoni

Research output: Contribution to journalArticlepeer-review

Abstract

Background/Aims: This study analyzed the results of treatment of rectal cancer (tumor within 12cm of the anal verge) with different techniques. Methodology: Two hundred and sixty-four patients who had undergone elective curative surgical resection of rectal cancer within 12cm of the anal verge were evaluated. The operative data and follow-up data were collected prospectively. Comparisons were made between patients who had different surgical procedures. Results: The overall peroperative mortality rate was nil, and the morbidity 39.4%. Local recurrence occurred in 21 of the patients with a median follow-up of 34 months (range: 5-105 months). The 3-year actuarial local recurrence rates for double-stapled anastomosis, low straight anastomosis and APR were 25%, 6%, and 5%, respectively. The local recurrence rate was significantly higher for double-stapled low anterior resection than for the other types of operation (p=0.013). On multivariate analysis reconstruction with Knight-Griffen anastomosis (p=0.013) and tumor distance from the anal verge

Original languageEnglish
Pages (from-to)400-406
Number of pages7
JournalHepato-Gastroenterology
Volume54
Issue number74
Publication statusPublished - Mar 2007

Keywords

  • Rectal cancer
  • Recurrence
  • Surgery
  • Survival
  • Total mesorectal excision

ASJC Scopus subject areas

  • Gastroenterology

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