Rate and treatment of pelvic recurrence after abdominoperineal resection and low anterior resection for rectal cancer
- 1 August 1995
- journal article
- research article
- Published by Wolters Kluwer Health in Diseases of the Colon & Rectum
- Vol. 38 (8), 799-802
- https://doi.org/10.1007/bf02049834
Abstract
This study was designed to analyze factors of importance for local recurrence after radical surgery for rectal cancer and to analyze course and outcome of treatment of pelvic recurrence.One hundred seventy-five patients treated for rectal cancer with low anterior resection (LAR) or abdominoperineal resection (APR) were studied, retrospectively. Seventy-four patients had LAR and 101 had APR.The two groups were comparable with respect to Dukes classification, histologic differentiation, and male to female ratio. The rate of pelvic recurrence was 18 percent for LAR and 24 percent for APR (not significant). Recurrence rates were 27 percent after stapled anastomoses and 10 percent after handsewn anastomoses respectively (P = 0.09). Twenty five had pelvic recurrence diagnosed without signs of distant metastatic disease. They were treated with radiotherapy, palliative operations, or analgesics. The group receiving radiotherapy had a significantly longer survival (15.9 months) compared with other groups (2.4 months; P < 0.001).There is no difference in local recurrence rate after LAR and APR. Radiotherapy seems to increase survival in patients with an unresectable recurrence and should be offered irrespective of pain.Keywords
This publication has 16 references indexed in Scilit:
- Mesorectal excision for rectal cancerThe Lancet, 1993
- Locally recurrent rectal cancer: Surgical strategyWorld Journal of Surgery, 1992
- Lateral margins of resection in adenocarcinoma of the rectumWorld Journal of Surgery, 1992
- Local recurrence following abdominoperineal excision and anterior resection for rectal carcinomaDiseases of the Colon & Rectum, 1991
- Local recurrence after curative resection of rectal cancer: A comparison of low anterior resection and abdominoperineal resectionJournal of Surgical Oncology, 1989
- Comparison of the mortality, morbidity and incidence of local recurrence in patients with rectal cancer treated by either stapled anterior resection or abdominoperineal resectionBritish Journal of Surgery, 1986
- The outcome following sphincter-saving resection and abdomino-perineal resection for low rectal cancerBritish Journal of Surgery, 1985
- Survival and recurrence after sphincter saving resection and abdominoperineal resection for carcinoma of the middle third of the rectumBritish Journal of Surgery, 1984
- Pelvic recurrence rate after abdominoperineal resection and low anterior resection for rectal cancer before and after introduction of the stapling techniqueWorld Journal of Surgery, 1983
- Total excision or restorative resection for carcinoma of the middle third of the rectumBritish Journal of Surgery, 1979