PTH-308 High quality local excision for early rectal cancer achieving low recurrence rates: preservation of the rectum is possible

Gut ◽  
2015 ◽  
Vol 64 (Suppl 1) ◽  
pp. A544.3-A545
Author(s):  
N Maguire ◽  
DK Garg ◽  
TS Gill
1993 ◽  
Vol 10 (6) ◽  
pp. 300-305
Author(s):  
T. Böttger ◽  
A. Heinz ◽  
D. Potratz ◽  
M. Stöckle ◽  
T. Junginger

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jessica Lockhart ◽  
Damian McKay

Abstract Aim High quality operations with low rates of tumour perforation and circumferential resection margin (CRM) positivity are associated with improved long-term outcomes following surgery for rectal cancer. Previous audit has demonstrated lower rates of tumour perforation and CRM positivity by a single surgeon compared to the published standards. Our aim is to re-audit this surgeons’ outcomes for curative rectal resections. Methods Data was collected retrospectively for all potentially curative rectal resections over a 5-year period performed by a single surgeon using a local database and electronic care records. The CRM status and tumour perforation status were considered. Other end points included the rate of local recurrence, survival and length of stay. Results Fifty-one patients underwent rectal resections with curative intent, with a median age of 67. Complete resection (R0) was achieved in 94.1% of cases; 3.92% were found to have nodes less than 1mm from the margin and 1.96% were found to have tumour deposit less than 1mm from the margin – these cases were considered to be an R1 resection. Tumour perforation was present in 3.92% of cases, all of which had occurred pre-operatively. Local recurrence was found in 5.88% of cases and 90-day mortality was 1.96%. Median length of hospital stay was 7 days. Conclusion Our data demonstrates sustained high quality surgical outcomes with low tumour perforation rates and CRM positivity rates which compare favourably with the published standards to date. Local recurrence rates are comparable to published standards and 90-day mortality continues to be low.


2019 ◽  
Vol 21 (4) ◽  
pp. 451-459 ◽  
Author(s):  
H. J. S. Jones ◽  
S. Goodbrand ◽  
R. Hompes ◽  
N. Mortensen ◽  
C. Cunningham

2018 ◽  
Vol 33 (4) ◽  
pp. 383-391
Author(s):  
Sun Min Park ◽  
Bong-Hyeon Kye ◽  
Min Ki Kim ◽  
Heba E. Jalloun ◽  
Hyeon-Min Cho ◽  
...  

2008 ◽  
Vol 65 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Alexandre Jin Bok Audi Chang ◽  
Caio Sergio Rizkallah Nahas ◽  
Sergio E. Alonso Araujo ◽  
Sergio C. Nahas ◽  
Carlos F. Sparapan Marques ◽  
...  

Author(s):  
Yasuhisa Yamamoto ◽  
Tsutomu Mure ◽  
Sueharu Iwamoto ◽  
Kaiso Sano

2018 ◽  
Vol 20 (10) ◽  
pp. 854-863 ◽  
Author(s):  
J. E. Cutting ◽  
S. E. Hallam ◽  
M. G. Thomas ◽  
D. E. Messenger

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