Abdominoperineal excision with partial anterior en bloc resection in multimodal management of low rectal cancer: a strategy to reduce local recurrence

Diseases of the Colon and Rectum
Kennet SmedhEva Strand

Abstract

Total mesorectal excision is the gold standard in the performance of an abdominoperineal resection but little has changed in the way the perineal operation is performed. A frequent problem is anterior dissection. The aim of this study was to present the results of abdominoperineal resection using selected partial anterior en bloc resection to reduce recurrence. The data were population-based and prospectively registered. Two experienced surgeons performed the operations. In selected cases, depending on clinical and magnetic resonance imaging findings, parts of the vagina or prostate close to the tumor were resected. All specimens were examined according to Quirke. Sixty-three patients underwent abdominoperineal resection with total mesorectal excision; 56 received preoperative radiotherapy. The tumors involved the anterior bowel wall in 40 cases and in 23 (58 percent) of them, en bloc resections were performed. The distance from the tumor to the conventional resection margin (without en bloc resection) was 0 mm in ten cases. The median follow-up period was 37 months. So far, one (1.7 percent) local recurrence has been detected in 58 (92 percent) curative and indeterminate cases. The cancer-specific five-year survival in these c...Continue Reading

References

Jun 1, 1988·International Journal of Colorectal Disease·P Quirke, M F Dixon
Oct 1, 1982·The British Journal of Surgery·R J HealdR D Ryall
Apr 1, 1997·The British Journal of Surgery·E RullierM Parneix
Jul 1, 1997·Diseases of the Colon and Rectum·R J HealdB J Moran
Jun 24, 1998·Annals of Surgery·S ZaheerD Ilstrup
Jun 12, 2003·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J N WiigK-E Giercksky
Jan 14, 2004·Diseases of the Colon and Rectum·Arne WibeUNKNOWN Norwegian Rectal Cancer Group
Sep 30, 2004·The British Journal of Surgery·W L Law, K W Chu

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Citations

Feb 26, 2011·International Journal of Colorectal Disease·Sigmar StelznerHelmut Witzigmann
May 24, 2011·International Journal of Colorectal Disease·Sigmar StelznerHelmut Witzigmann
Feb 16, 2010·Journal of Gastrointestinal Cancer·Shao-liang HanGuan-bao Zhu
Jul 7, 2011·Diseases of the Colon and Rectum·Luiz Felipe de Campos-LobatoMatthew F Kalady
May 17, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P VidehultW Kraaz
May 31, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M Hosseinali KhaniW Kraaz
Nov 3, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M Hosseinali Khani, K Smedh
Nov 19, 2010·World Journal of Gastroenterology : WJG·Guo-Jun WangWen-Jian Meng
Dec 18, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J W ShinS H Kim
Mar 8, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G PalmerT Holm
Mar 5, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M FrassonI Lavery
Nov 26, 2014·International Journal of Colorectal Disease·Ingvar SverrissonKenneth Smedh
May 4, 2021·International Journal of Colorectal Disease·Kosuke OzakiSoichiro Ishihara
Oct 17, 2021·Asian Journal of Endoscopic Surgery·Dai Uematsu, Takehiko Sugihara

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