Abstract
Fifty-five patients underwent curative stapled low anterior resection for rectal adenocarcinomas located 5 to 15 cm from the anal verge. Two patients (3.7 percent) died postoperatively. The mean follow-up for the remaining 53 patients was 40 months. Local recurrence was diagnosed in 17 patients (32 percent), in most (88 percent) within the first two years after surgery. Most local recurrences appeared in patients classified as Dukes' C1 and C2 but, surprisingly, no significant difference was found between rectal tumors of high and low location as regards recurrence. The high rate of recurrence in this series may be attributable to the large number of patients with advanced tumors, and poorly differentiated carcinoma, or both.
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Beart RW Jr, Kelly KA. Randomized prospective evaluation of the EEA stapler for colorectal anastomosis. Am J Surg 1981;141:143–7.
Öhman U, Svenberg T. EEA stapler for mid-rectum carcinoma: review of recent literature and own initial experience. Dis Colon Rectum 1983;26:775–84.
Williams MS. The rationale for preservation of the anal sphincter in patients with low rectal cancer. Br J Surg 1984;71:575–81.
Code D, Gallagher P, Scopweld PF, Turner L. Complications of anterior resection of the rectum using the EEA stapling device. Br J Surg 1981;80:339–40.
Everett WG, Friend PJ, Forty J. Comparison of stapling and hand-suture for left-sided large bowel anastomosis. Br J Surg 1986;73:345–8.
Adloff M, Arnaud JP, Beehary S. Stapled vs. sutured colorectal anastomosis. Arch Surg 1980;115:1436–8.
Lasson LLA, Ekelund GR, Lindstrom CG. Recurrence risk after stapled anastomosis for rectal carcinoma. Acta Chir Scand 1984;150:85–9.
Luke M, Kirkegaard P, Lendorf A, et al. Pelvicrecurrence rate after abdomino-perineal resection and low anterior resection for rectal cancer before and after introduction of the stapling technique. World J Surg 1983;7:616–9.
Wolmark N, Fisher B. An analysis of survival and treatment failure following abdominoperineal and sphincter-saving resection in Dukes' B and C rectal carcinoma. Ann Surg 1986;240:480–9.
Segall MM, Goldberg SM, Nivatvongs S, et al. Abdominoperineal resection for recurrent cancer following anterior resection. Dis Colon Rectum 1981;24:80–4.
Broders AC. Carcinoma grading and practical applications. Arch Pathol 1926;2:376.
Goligher JC. Recent trends in the practice of sphincter-saving excision for rectal cancer. Ann R Coll Surg Engl 1979;61:169–73.
Ravitch MM. Varieties of stapler anastomoses in rectal resections. Surg Clin North Am 1983;64:543–4.
Trollope ML, Cohen RG, Lee RH, et al. A 7-year experience with low anterior sigmoid resections using the EEA stapler. Am J Surg 1986;152:11–5.
Gunderson LF, Sosin H. Areas of failure found at reoperation following curative surgery for adenocarcinoma of rectum. Cancer 1974;34:1278–92.
Hurst PA, Pront WG, Kelly JM, et al. Local recurrence after low anterior resection using the staple-gun. Br J Surg 1982;69:275–6.
Anderberg B, Enblad P, Siodahl R, et al. Recurrent rectal carcinoma after anterior resection and rectal stapling. Br J Surg 1984;71:98–100.
Rosen CB, Beart RW, Ilstrup DM. Local recurrence of rectal carcinoma after hand-sewn and stapled anastomosis. Dis Colon Rectum 1985;28:305–9.
Pheils MT, Chapuis PH, Newland RC, Colquhoun K. Local recurrence following curative resection for carcinoma of the rectum. Dis Colon Rectum 1983;26:98–102.
Williams NS, Johnston D. Survival and recurrence after sphincter saving resection and abdominoperineal resection for carcinoma of the middle third of the rectum. Br J Surg 1984;71:278–82.
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Ziv, Y., Ben-Baruch, D., Waizer, A. et al. Local recurrence after low anterior resection using the EEATM stapling device. Dis Colon Rectum 31, 945–947 (1988). https://doi.org/10.1007/BF02554891
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DOI: https://doi.org/10.1007/BF02554891