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Oncological Outcomes After Total Mesorectal Excision for Cure for Cancer of the Lower Rectum: Anterior vs. Abdominoperineal Resection

Diseases of the Colon & Rectum · 2004 · Vol. 47(1) · pp. 48–58

Arne Wibe✉(St Olav's University Hospital)Astri Syse(Cancer Registry of Norway)E Andersen(Cancer Registry of Norway)Steinar Tretli(Cancer Registry of Norway)H. E. MyrvoldOdd Söreide(American Society of Colon and Rectal Surgeons)

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Abstract

T4 tumors, R1 resections, and/or intraoperative perforation of the tumor or bowel wall are main features of low rectal cancers, causing inferior oncologic outcomes for tumors in this area. If surgery is optimized, preventing intraoperative perforation and involvement of the circumferential resection margin, the prognosis for cancers of the lower rectum seems not to be inherently different from that for tumors at higher levels. In that case, the level of the tumor or the type of resection will not be indicators for selecting patients for radiotherapy.

Colorectal Cancer Surgical Treatments Colorectal and Anal Carcinomas Colorectal Cancer Screening and DetectionMedicineAbdominoperineal resectionAnal vergeRectumSurgeryColorectal cancerTotal mesorectal excisionProspective cohort studyStage (stratigraphy)Cancer

MeSH terms

AbdomenAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalNorwayPerineumRectal NeoplasmsRectumDigestive System Surgical Procedures

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425

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10.63

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Long-term results of a randomized trial comparing preoperative short-course radiotherapy with preoperative conventionally fractionated chemoradiation for rectal cancer