From March 1990 to January 1994, 76 patients suffering from adenocarcinoma and 2 patients suffering from primary or metastatic melanoma were submitted to total rectal resection associated with colo-endoanal anastomosis. The total rectal resection was extended distally down to the ano-rectal junction level and the cole-anal anastomosis was performed between anal mucosa, to the dentate line level, and a colic J shaped reservoir prepared by GIA. All the lesions were sited within 8 cm from the anal verge and in 80% of cases within 6.5 cm. A macroscopic and microscopic radicality of the margins of surgical section was obtained in each patient. A pelvic relapse was observed in 7 cases of primary carcinoma between 7 and 17 months from the treatment, while no anastomotic relapse was observed. The morbidity of treatment is limited. A perfect continence was maintained in 71% of cases and 69% of patients had less than 2 bowel movements a day. Ten patients died of disease (2 cases Dukes D and 8 cases Dukes C) while 71% of patients are still free of disease. Our experience, as much as showed in literature, demonstrates that a conservative surgical approach such as the one herewith described can be considered a feasible alternative option to major demolitive surgery in the treatment of tumours localised in the low rectum.
|Translated title of the contribution||Total rectal resection and colo-anal anastomosis in the treatment of low rectum tumors|
|Number of pages||8|
|Publication status||Published - 1995|
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