PMID: 9171754May 1, 1997Paper

Evaluation of a policy of total mesorectal excision for rectal and rectosigmoid cancers

The British Journal of Surgery
P J HainsworthW J Cunliffe

Abstract

Total mesorectal excision (TME) is advocated for rectal cancer but the indications and extent of resection vary widely between surgeons. Seventy-six consecutive patients (61 elective, 15 acute admission) with rectal or rectosigmoid cancer were admitted to a unit where TME was the preferred surgical option for potentially curative cancer at all levels of the rectum. Procedures undertaken were anterior resection (38 patients), abdominoperineal resection (18), Hartmann's procedure (ten) and transanal excision (one). Six patients had proximal faecal diversion alone and surgery was withheld in three. Anastomotic leaks occurred in six of 37 patients who had anterior resection with primary anastomosis, resulting in one early death. The presence of a proximal stoma did not influence the rate or seriousness of anastomotic dehiscence. After potentially curative TME in 45 patients, there have been eight local recurrences, four associated with systemic metastases and four which occurred in isolation (median follow-up 34 months). Curative TME was deemed appropriate in 59 per cent of unselected patients with rectal cancer. It was associated with few local recurrences but a morbidity rate that questions its role in treatment of upper third tu...Continue Reading

References

Sep 1, 1992·International Journal of Colorectal Disease·S Tagliacozzo, M Accordino
May 1, 1992·World Journal of Surgery·J P de AzevedoL L Gunderson
Jun 1, 1992·The British Journal of Surgery·G JatzkoV Wette
Mar 1, 1991·The British Journal of Surgery·A R DixonJ T Holmes
Oct 1, 1989·The British Journal of Surgery·W O KirwanR Waldron
Jan 1, 1984·The British Journal of Surgery·R K PhillipsL P Fielding
Aug 9, 1980·British Medical Journal·L P FieldingG Kearney
Aug 1, 1994·The British Journal of Surgery·N D KaranjiaR J Heald
Feb 20, 1993·Lancet·L P Fielding
Jan 1, 1994·The British Journal of Surgery·A M Abulafi, N S Williams
Feb 1, 1994·Diseases of the Colon and Rectum·G Di MatteoA Filippini

❮ Previous
Next ❯

Citations

Sep 8, 1998·Seminars in Surgical Oncology·J N WiigO Søreide
Dec 14, 2001·Diseases of the Colon and Rectum·T E ReadI J Kodner
Jan 24, 2002·Diseases of the Colon and Rectum·A NissanA M Cohen
Aug 19, 2000·Diseases of the Colon and Rectum·A MellgrenJ García-Aguilar
Nov 23, 2000·Diseases of the Colon and Rectum·S D Wexner, N A Rotholtz
Jul 20, 1999·Diseases of the Colon and Rectum·J W FleshmanE G Weiss
Sep 27, 2000·Diseases of the Colon and Rectum·A F Leong
Jan 7, 2004·World Journal of Surgery·Jesús A Fernández-RepresaJulio Garcia-Aguilar
Feb 3, 2009·International Journal of Colorectal Disease·Jens HoeppnerUllrich Theodor Hopt
Jul 29, 2005·Langenbeck's Archives of Surgery·Cun WangWeiping Liu
Sep 20, 2008·Surgical Endoscopy·Nobuyoshi MiyajimaUNKNOWN Japan Society of Laparoscopic Colorectal Surgery
Apr 1, 2006·Diseases of the Colon and Rectum·Monica MillanSalvador Lledo
Oct 17, 2006·Diseases of the Colon and Rectum·Kenichi SugiharaTetsuichiro Muto
Feb 16, 2008·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T Junginger, P Hermanek
Sep 24, 2004·ANZ Journal of Surgery·Adrian L PolglasePrithi S Bhathal
Sep 28, 2010·British Journal of Nursing : BJN·Rebecca Slater
Apr 15, 2010·Diseases of the Colon and Rectum·Robert RosenbergRalf Gertler
May 7, 2015·Diseases of the Colon and Rectum·Franco G MarinelloEduardo García-Granero
Mar 23, 2006·Annals of the Royal College of Surgeons of England·Vivien V NgRidzuan Farouk

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.