Survival and local recurrence after anterior resection and abdominoperineal excision for rectal cancer

1995 ◽  
Vol 21 (6) ◽  
pp. 640-643 ◽  
Author(s):  
Jörg Tschmelitsch ◽  
Peter Kronberger ◽  
Rupert Prommegger ◽  
Gilbert Reibenegger ◽  
Karl Glaser ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Anterior Resection ◽  
Abdominoperineal Excision

Low anterior resection versus abdominoperineal excision: A comparison of local recurrence after curative surgery for ?very low? rectal cancer

Surgery Today ◽  
1992 ◽  
Vol 22 (4) ◽  
pp. 313-317 ◽  
Author(s):  
Domenico Tuscano ◽  
Marco Catarci ◽  
Alessandra Saputelli ◽  
Fabio Gaj ◽  
Francesco Gossetti ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Abdominoperineal Excision ◽  
Low Rectal Cancer ◽  
Curative Surgery ◽  
Very Low Rectal Cancer

scholarly journals The effect of rectal washout on local recurrence following rectal cancer surgery

2018 ◽  
Vol 100 (2) ◽  
pp. 146-151 ◽  
Author(s):  
SR Moosvi ◽  
K Manley ◽  
J Hernon
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Anterior Resection ◽  
High Volume ◽  
Conclusive Evidence ◽  
Rectal Cancer Surgery ◽  
Single Institution ◽  
Recurrence Rates ◽  
Rectal Washout ◽  
Significant Difference

Introduction Local recurrence after surgery for rectal cancer is associated with significant morbidity and debilitating symptoms. Intraoperative rectal washout has been linked to a reduction in local recurrence but there is no conclusive evidence. The aim of this study was to evaluate whether performing rectal washout had any effect on the incidence of local recurrence in patients undergoing anterior resection for rectal cancer in the context of the current surgical management. Methods A total of 395 consecutive patients who underwent anterior resection with or without rectal washout for rectal cancer between January 2003 and July 2009 at a high volume single institution were analysed retrospectively. A standardised process for performing washout was used and all patients had standardised surgery in the form of total mesorectal excision. Neoadjuvant and adjuvant therapy was used on a selected basis. Patients were followed up for five years and local recurrence rates were compared in the two groups. Results Of the 395 patients, 297 had rectal washout and 98 did not. Both groups were well matched with regard to various important clinical, operative and histopathological characteristics. Overall, the local recurrence rate was 5.3%. There was no significant difference in the incidence of local recurrence between the washout group (5.7%) and the no washout group (4.1%). Conclusions Among our cohort of patients, there was no statistical difference in the incidence of local recurrence after anterior resection with or without rectal washout. This suggests that other factors are more significant in the development of local recurrence.

Local recurrence of low rectal cancer after abdominoperineal and anterior resection

1997 ◽  
Vol 84 (4) ◽  
pp. 525-528 ◽  
Author(s):  
E. Rullier ◽  
C. Laurent ◽  
J. Carles ◽  
J. Saric ◽  
P. Michel ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Anterior Resection ◽  
Low Rectal Cancer

scholarly journals Abdominoperineal Excision: Technical Challenges in Optimal Surgical and Oncological Outcomes after Abdominoperineal Excision for Rectal Cancer

2017 ◽  
Vol 30 (05) ◽  
pp. 357-367
Author(s):  
Torbjörn Holm
Keyword(s):  
Rectal Cancer ◽  
Local Control ◽  
Anterior Resection ◽  
Abdominoperineal Excision ◽  
Treatment Results ◽  
Anatomical Structures ◽  
Technical Aspects ◽  
Oncological Outcomes ◽  
Increased Risk ◽  
Technical Challenges

AbstractTreatment results in rectal cancer have improved significantly during the recent two decades, but local control and survival after abdominoperineal excision (APE) have not improved to the same degree as that seen after anterior resection (AR). The reason for this is an increased risk of inadvertent bowel perforations and tumor involved margins after APE as compared with AR. The conventional synchronous combined APE has not been a standardized procedure and consequently oncological outcomes have varied considerably between different institutions and in different reports. With the new concept of APE, based on well-defined anatomical structures, the procedure can be categorized as intersphincteric APE, extralevator APE, and ischioanal APE. This article discusses the technical aspects and results from this approach.

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