PMID: 9548098Apr 21, 1998Paper

Surgery for local pelvic recurrence after resection of rectal cancer

International Journal of Colorectal Disease
N SaitoN Nakajima

Abstract

This retrospective study evaluated outcome with regard to procedure, local control, and survival after curative surgical resection with and without preoperative radiotherapy for local pelvic recurrence. A total of 58 consecutive patients with local pelvic recurrence of rectal cancer after previous curative resection for primary tumors were reviewed. Of these, 36 underwent both initial resection and follow-up in our department; the remaining 22 had initial surgery and follow-up elsewhere. Of the 58 patients 27 underwent curative re-resection, 9 had palliative resection, and 22 were treated by conservative therapy. Among the 27 patients with curative resection 17 received preoperative radiotherapy (40 Gy) plus surgery and 10 surgery only. No patients were lost to follow-up; median follow-up time was 36.3 months. The overall rate of curative resection was 46.6%: 55.6% in our own follow-up group and 31.8% in the others. With regard to surgical procedure, abdominoperineal resection (APR) with or without sacral resection was standard following previous low anterior resection, and total pelvic exenteration (TPE) with or without sacral resection was common following APR. There was a high incidence of morbidity (71.4%) after TPE. Re-rec...Continue Reading

Citations

Dec 14, 2001·Diseases of the Colon and Rectum·J Garcia-AguilarD A Rothenberger
Oct 5, 2001·Diseases of the Colon and Rectum·S Sengupta, J J Tjandra
Oct 13, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A G HeriotJ Mackay
Jun 16, 2012·International Journal of Surgical Oncology·Niamh M Hogan, Myles R Joyce
Dec 31, 2009·Annals of Surgical Oncology·Philippe Bouchard, Jonathan Efron
Apr 17, 2010·International Journal of Radiation Oncology, Biology, Physics·Michael G HaddockLeonard L Gunderson
May 29, 2007·Surgical Oncology·Peter S Chong, Ian G Finlay
May 9, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J Gu, N Chen
Jan 1, 2003·The Surgical Clinics of North America·Wayne S KendalHartley Stern
Mar 18, 2005·Journal of Applied Physiology·Adrian S FaireyJohn R Mackey
Mar 13, 2018·Journal of Korean Neurosurgical Society·Pius Kim, Suk Jung Jang
Sep 16, 2003·Diseases of the Colon and Rectum·Deborah A McNamaraP Ronan O'Connell
Oct 16, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Joshua BlakeMichael J Solomon

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