A prospective study of local recurrence after resection and low stapled anastomosis in 183 patients with rectal cancer

摘要: Local recurrence is the most serious complication of anterior resection for rectal cancer, usually occurring during first two years after surgery. Over a five-year period, from 1981 to 1986, 183 patients underwent carcinoma at Surgery Ward University Ferrara. Patients were followed postoperatively. All operations performed with staplers and classified according Dukes, 43 cases Dukes' A; 83 B; 57 C. In 24 months surgery, tumor recurred locally in 44 (24 percent. stage, grading distal margin, histopathologic differentiation ring left stapler anastomosis assessed determine prognostic indicator tumor. The stage:recurrence ratio was as follows: A, 1 (2 percent); B, 21 (25 C, 22 (39 percent). grading:recurrence was: G1, 13∶51 G2, 24∶110 (22 G3, 7∶22 (32 between margin 0 2 cm, 15∶27 (56 4 16∶74 over 13∶82 (15 Histopathologic examination negative all patients. These data confirm direct relationship class local indicate histologic grade significant parameters only when interpreted light staging.