Abdominal resection of rectal cancer
Kuśmierski, S.; Kawecki, M.; Madejski, T.; Hadasik, F.; Donocik, J.; Chmiel, B.
Polski Tygodnik Lekarski 47(29-30): 631-633
1992
ISSN/ISBN: 0032-3756 PMID: 1488345 Document Number: 396297
Preservation of anal sphincters in the surgical treatment of rectal cancer is often controversial as far as an extent of surgery, incidence of complications and an increase in mortality rate in perioperative period are concerned. The study was aimed at results of the retrospective analysis of patients, who undergone abdominal excision of the rectum for malignant tumours. Totally 136 patients were operated. Perioperative mortality rate was 5.14%. Totally 26.4% of patients survived for at least 5 years, including 80% of patients operated in A stage of cancer, according to Duke, and 43.3% of patients with tumour in B stage. An emphasis is on the necessity to leave a 2-centimeter margin of healthy tissues around the tumour, provided, that the result of intraoperative histological examination was negative. Such a margin is sufficient for anastomosis. Low anastomoses do not produce early complications and recurrences.