Portal de Periódicos da CAPES

A further evaluation of the one-stage low-anterior resection

1963; Lippincott Williams & Wilkins; Volume: 6; Issue: 6 Linguagem: Inglês

10.1007/bf02633477

1530-0358

Kent P. Cullen, Charles W. Mayo,

Anorectal Disease Treatments and Outcomes

Summary Follow up data have been presented on 424 patients with carcinoma of the rectum or rectosigmoid, or both, who underwent one-stage low-anterior resection. A total of 27 patients died in the immediate postoperative period, giving a hospital mortality of 6.4 per cent. Hospitalization of the remaining 397 patients averaged 19.4 days, and if 128 patients with postoperative complications are excluded, hospitalization of the remaining 269 patients averaged 14.3 days. The most frequent postoperative complication was fecal fistula (13.1%). The sphincteric function was satisfactory eventually in 93.7 per cent of the cases. When the hospital deaths and palliative procedures were excluded, the five-year survival rate was 61.4 per cent, and the ten-year survival rate was 49.7 per cent. Five-year survival rates with and without nodal involvement are presented, and 15-year survivals (statistically insignificant) are discussed. The three-year intraluminal recurrence rate was 9.7 per cent, and the total local recurrence rate during the same period was 14.2 per cent.