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Local recurrence after low anterior resection of rectal cancer

Rasmussen, K.C.; Skarbye, M.; Hartvigsen, A.B.; Bülow, S.

Ugeskrift for Laeger 159(50): 7495-7499

1997

ISSN/ISBN: 0041-5782
PMID: 9424779
Document Number: 479333
Among 75 consecutive patients operated upon with anterior resection for rectal adenocarcinoma during a five year period, 29 (39%) developed local cancer recurrence. The total cumulative five-year survival was 49%, but only 17% in those with a local cancer recurrence. The most important risk factors for development of local recurrence were tumour fixation, intraoperative blood transfusion and surgical routine. Local recurrence was seen in 4/23 (17%) after operation performed by a consultant, 1/5 (20%) after a consultant-supervised operation and 24/47 (51%) after operation by a senior registrar (p < 0.02). As a consequence we recommend that operation for rectal cancer should only be performed or supervised by a few specialists in colorectal surgery.

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