Abstract
Cases are reviewed of 12 patients who had abdominoperineal resections for cancer recurrence subsequent to anterior resection. Although this procedure is technically more difficult, we experienced no mortality or significant morbidity, and the postoperative hospital stay was similar to that of patients who received an abdominoperineal resection as a primary procedure. Although we have no long-term cures, at least significant palliation can be achieved in selected patients who have no evidence of distant metastases
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References
Mayo WJ. Grafting and traumatic dissemination of carcinoma in the course of operations for malignant disease. JAMA 1913;60:512–3.
Sannella NA. Abdominoperineal resection following anterior resection. Cancer 1976;38:378–81.
Dukes CE. The classification of cancer of the rectum. J Pathol 1932;35:323–32.
Black BM, Kelly AH. Recurrent carcinoma of the rectum and rectosigmoid: results of treatment after continence-preserving procedures. Arch Surg 1955;71:538–42.
Bacon HE, Berkley JL. The rationale of re-resection for recurrent cancer of the colon and rectum. Dis Colon Rectum 1959;2:549–54.
Andersen B, Clemmesen T, Sprechler M, Baden H. Anastomotic recurrences and five-year survival rate after low anterior resection for cure in 128 patients with rectal cancer. Scand J. Gastroenterol 1971;6:449–51.
Failes D. Cancer of the colon and rectum: operative management of rectal carcinoma (symposium). Dis Colon Rectum 1976;19:2–5.
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.
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.
Shindo K. Recurrence of carcinoma of the large intestine—a statistical review. Am J Proctol 1974;25:80–90.
Welch JP, Donaldson GA. Detection and treatment of recurrent cancer of the colon and rectum. Am J Surg 1978; 135:505–11.
Hardy KJ, Cuthbertson AM, Hughes ES. Suture-line neoplastic recurrence following large-bowel resection. Aust NZ J Surg 1971;41:44–6.
Ekman CA, Gustavson J, Henning A. Value of a follow-up study of recurrent carcinoma of the colon and rectum. Surg Gynecol Obstet 1977;145:895–7.
Gilbertsen VA. Adenocarcinoma of the rectum: incidence and locations of recurrent tumor following present-day operations performed for cure. Ann Surg 1960;151:340–8.
Gunderson LL, Sosin H. Areas of failure found at reoperation (second or symptomatic look) following “curative surgery” for adenocarcinoma of the rectum: clinicopathologic correlation and implications for adjuvant therapy. Cancer 1974;34:1278–92.
Cass AW, Million RR, Pfaff WW. Patterns of recurrence following surgery alone for adenocarcinoma of the colon and rectum. Cancer 1976;37:2861–5.
Floyd CE, Corley RG, Cohn I Jr. Local recurrence of carcinoma of the colon and rectum. Am J Surg 1965;109: 153–9.
Lofgren EP, Waugh JM, Dockerty MB. Local recurrence of carcinoma after anterior resection of the rectum and the sigmoid: relationship with the length of normal mucosa excised distal to the lesion. Arch Surg 1957;74:825–38.
Slanetz CA Jr, Herter FP, Grinnell RS. Anterior resection versus abdominoperineal resection for cancer of the rectum and rectosigmoid: an analysis of 524 cases. Am J Surg 1972;123:110–7.
Morson BC, Vaughan EG, Bussey HJ. Pelvic recurrence after excision of rectum for carcinoma. Br Med J 1963;2:13–8.
Manson PN, Corman ML, Coller JA, Veidenheimer MC. Anastomotic recurrence after anterior resection for carcinoma: Lahey Clinic experience. Dis Colon Rectum 1976;19:219–24.
Black WA, Waugh JM. The intramural extension of carcinoma of the descending colon, sigmoid and rectosigmoid: a pathologic study. Surg Gynecol Obstet 1948;87:457–64.
Villemin F, Huard P, Montagné M. Recherches anatomiques sur les lymphatiques du rectum et de l'anus: Leurs applications dans le traitement chirurgical du cancer. Rev Chir 1925;63:39–80.
Sauer I, Bacon HE. Influence of lateral spread of cancer of the rectum on radicability of operation and prognosis. Am J Surg 1951;81:111–20.
Oliviera E. Observacao sobre os linfaticos ano-retáis. Thesis, Rio de Janeiro, 1947.
Slanetz CA Jr, Herter FP. The large intestine. In: Haagensen CD, Feind CR, Herter FP, Slanetz CA Jr, Weinberg JA. The lymphatics in cancer. Philadelphia: WB Saunders, 1972:489–568.
Rosenberg IL, Russell CW, Giles GR. Cell viability studies on the exfoliated colonic cancer cell. Br J Surg 1978;65:188–90.
Labow SB, Salvati EP, Rubin RJ. Suture-line recurrence in carcinoma of the colon and rectum. Dis Colon Rectum 1975;18:123–5.
Nordman E, Grönroos M, Aho AJ. Numminen S. Inoperable and recurrent carcinoma of the rectum and rectosigmoid: aspects of radiation treatment and prognosis. Ann Chir Gynaecol 1977;66:265–8.
Polk HC Jr, Spratt JS Jr. Recurrent colorectal carcinoma: detection, treatment, and other considerations. Surgery 1971;69:9–23.
Welch JP, Donaldson GA. The clinical correlation of an autopsy study of recurrent colorectal cancer. Ann Surg 1979;189:496–502.
Green WW, Blank WA. Perineal recurrence after abdominoperineal resection of carcinoma of the rectum. Dis Colon Rectum 1963;6:125–9.
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Read at the meeting of the American Society of Colon Rectal Surgeons, Hollywood, Florida, May 11 to 16, 1980. This paper received the Ohio Valley Proctologic Society Award.
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Segall, M.M., Goldberg, S.M., Nivatvongs, S. et al. Abdominoperineal resection for recurrent cancer following anterior resection. Dis Colon Rectum 24, 80–84 (1981). https://doi.org/10.1007/BF02604290
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DOI: https://doi.org/10.1007/BF02604290