Do patients requiring a multivisceral resection for rectal cancer have worse oncologic outcomes than patients undergoing only abdominoperineal resection? - 16/08/17
, Ruel Neupane a, Murad A. Jabir a, Sharon L. Stein a, Harry L. Reynolds a, Conor P. Delaney c, Scott R. Steele a, ⁎ Abstract |
Introduction |
Abdominoperineal Resection (APR) remains an important option for patients with advanced rectal cancer though some may require multivisceral resection (MVR) in addition to APR. We hypothesized that oncological outcomes would be worse with MVR.
Methods |
A retrospective review from 2006 to 2015 of 161 patients undergoing APR or MVR for rectal cancer, of whom 118 underwent curative APR or APR with MVR. Perioperative, oncologic and survival metrics were evaluated.
Results |
There were 82 patients who underwent APR and 36 who underwent MVR. Surgical approach and incidence of complications were similar (All P > 0.05). There was 1 local recurrence in each of the APR and MVR groups at a mean follow-up of 34 and 32 months, respectively. Distant recurrences occurred in 3 APR patients and 4 MVR patients.
Conclusions |
APR and APR with MVR can be performed with comparable morbidity and oncologic outcomes.
El texto completo de este artículo está disponible en PDF.Keywords : Rectal cancer, Colorectal surgery
Esquema
| ☆ | Poster Presentation, Digestive Disease Week, May 22, 2016, San Diego, CA. |
Vol 214 - N° 3
P. 416-420 - septembre 2017 Regresar al número
Artículo precedente
- Selective packing for uncontrollable traumatic thoracic wall bleeding preserving cardiopulmonary function
- David Pérez-Alonso, Norberto Santana-Rodríguez, José Ramón Cano, Adil Ayub, Wissam Raad, Khalid Alshehri, César Calderón-Murgas, Francisco Hernández, Gara Torrent, Faiz Y. Bhora
- Left-sided early onset colorectal carcinomas: A sporadic neoplasm with aggressive behavior
- Emanuela Pilozzi, Laura Lorenzon, Simone Lo Baido, Mario Ferri, Enrico Duranti, Flavio Fochetti, Paolo Mercantini, Giovanni Ramacciato, Genoveffa Balducci, Luigi Ruco
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?