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Local recurrence following curative resection for carcinoma of the rectum

  • Published:
Diseases of the Colon & Rectum

Abstract

One hundred ninety-three patients had curative resections for carcinoma of the rectum between January 1971 and December 1979. Nineteen patients developed local recurrence (9.8 per cent): 5/95 after abdominoperineal excision (5.2 per cent) and 14/98 after anterior resection (14.3 per cent). There was no difference in the overall survival rate between the two operations, but there was a trend toward decreased survival for patients who developed local recurrence. Metastatic spread to the lymph nodes increased the risk of local recurrence.

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References

  1. Lockhart-Mummery HE, Ritchie JK, Hawley PR. The results of surgical treatment for carcinoma of the rectum at St. Mark's Hospital from 1948 to 1972. Br J Surg 1976;63:673–7.

    PubMed  CAS  Google Scholar 

  2. Goligher JC. Use of circular stapling gun with peranal insertion of anorectal purse-string for construction of very low colorectal or colo-anal anastomoses. Br J Surg 1979;66:501–4.

    PubMed  CAS  Google Scholar 

  3. Heald RJ. Towards fewer colostomies—the impact of circular stapling devices on the surgery of rectal cancer in a district hospital. Br J Surg 1980;67:198–200.

    PubMed  CAS  Google Scholar 

  4. Chapuis PH, Pheils MT. Report of a multidisciplinary research programme for colorectal cancer. Anticancer Res 1981;1:11–3.

    Google Scholar 

  5. Newland RC, Chapuis PH, Pheils MT, MacPherson JG. The relationship of survival to staging and grading of colorectal carcinoma: a prospective study of 503 cases. Cancer 1981;47:1424–9.

    Article  PubMed  CAS  Google Scholar 

  6. World Health Organization. Manual of the international statistical classification of diseases, injuries and causes of death. Geneva, 9th revision, 1977.

  7. Nie NH, Hull CH, Jenkins JG, Steinbrenner K, Bent DH. Statistical package for the social sciences. New York: McGraw-Hill, 1975.

    Google Scholar 

  8. Berkson J, Gage RP. Calculation of survival rates for cancer. Mayo Clin Proc 1950;25:270–86.

    PubMed  CAS  Google Scholar 

  9. Lee ET, Desu MM. A computer program for comparing K samples with right-censored data. Comput Programs Biomed 1972;2:315–21.

    Article  PubMed  CAS  Google Scholar 

  10. Gehan EA. A generalized Wilcoxon test for comparing arbitrarily single-censored samples. Biometrika 1965;52:203–23.

    PubMed  CAS  Google Scholar 

  11. Walz BJ, Lindstrom ER, Butcher HR, Baglan RJ. Natural history of patients after abdomino-perineal resection: implications for radiation therapy. Cancer 1977;39:2437–42.

    Article  PubMed  CAS  Google Scholar 

  12. Morson BC, Vaughan EG, Bussey HJ. Pelvic recurrence after excision of rectum for carcinoma. Br Med J 1963;2:13–8.

    Google Scholar 

  13. Tyndal EC, Dockerty MB, Waugh JM. Pelvic recurrence of carcinoma of the rectum. Surg Gynecol Obstet 1964;118:47–51.

    PubMed  CAS  Google Scholar 

  14. Moriya Y, Koyama Y, Hojo K, Hirota T, Itabashi M. Local recurrence after sphincter-saving procedures for carcinoma of the rectum: an analysis of 141 cases. Jpn J Clin Oncol 1980;10:265–71.

    Google Scholar 

  15. Pihl E, Hughes ES, McDermott FT, Milne BJ, Price AM. Disease-free survival and recurrence after resection of colorectal carcinoma. J Surg Oncol 1981;16:333–41.

    PubMed  CAS  Google Scholar 

  16. Walz BJ, Green MR, Lindstrom ER, Butcher HR Jr. Anatomical prognostic factors after abdominal perineal resection. Int J Radiat Oncol Biol Phys 1981;7:477–84.

    PubMed  CAS  Google Scholar 

  17. Goligher JC. The operability of carcinoma of the rectum. Br Med J 1941;2:393–7.

    Article  Google Scholar 

  18. Malcolm AW, Perencevich NP, Olson RM, Hanley JA, Chaffey JT, Wilson RE. Analysis of recurrence patterns following curative resection for carcinoma of the colon and rectum. Surg Gynecol Obstet 1981;152:131–6.

    PubMed  CAS  Google Scholar 

  19. Zelas P, Haaga JR, Lavery IC, Fazio VW. The diagnosis by percutaneous biopsy with computed tomography of a recurrence of carcinoma of the rectum in the pelvis. Surg Gynecol Obstet 1980;151:525–7.

    PubMed  CAS  Google Scholar 

  20. Pheils MT, Chapuis PH, Thomson AA, Payne JE, Newland RC, MacPherson JG. A pattern of local recurrence following resection of colorectal cancer. Aust NZ J Surg 1979;49:663–8.

    CAS  Google Scholar 

  21. Goligher JC. Surgery of the anus, rectum, and colon, 3rd ed. London: Baillière Tindall, 1975.

    Google Scholar 

  22. Goligher JC, Dukes CE, Bussey HJ. Local recurrences after sphincter-saving excisions for carcinoma of the rectum and rectosigmoid. Br J Surg 1951;39:199–211.

    PubMed  CAS  Google Scholar 

  23. Ree PC, Marks JE, Moosa AR, Levin B, Platz CE. Rectal and rectosigmoid carcinoma: physician's prediction of local recurrence. J Surg Res 1975;18:1–7.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Colorectal Cancer Project, Concord Hospital, Concord, Australia

    M. T. Pheils, P. H. Chapuis, R. C. Newland & K. Colquhoun

Authors
  1. M. T. Pheils
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  2. P. H. Chapuis
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  3. R. C. Newland
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  4. K. Colquhoun
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Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, San Francisco, California, May 2 to 6, 1982.

This work was supported by grants from the Department of Veteran's Affairs and the New South Wales Cancer Council.

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Pheils, M.T., Chapuis, P.H., Newland, R.C. et al. Local recurrence following curative resection for carcinoma of the rectum. Dis Colon Rectum 26, 98–102 (1983). https://doi.org/10.1007/BF02562583

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  • DOI: https://doi.org/10.1007/BF02562583

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