Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | duminic„, 26 mai 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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RECURRENT RECTAL CANCER
C. Pleşca (1), C. Dragomir (2), Silvia Tighiliu (1)
1. Emergency County Hospital, Botoşani
2. Third Surgical Unit, „St. Spiridon” University Hospital Iaşi
Jurnalul de chirurgie 2007; 3 (3):243-248
Full text: PDF Format (Romana/Romanian)

Abstract:

The work has as scope to analyze the recurrence of the neoplazic disease after operated rectal cancer, the study including a lot of 246 patients operated between 1995 and 2005. 129 abdominoperineal resections, 88 anterior resections, 29 Hartmann operations were performed. In the series herein, 61 patients presented recurrences, out of which 35 local recurrences, 19 at distance and 7 mixed. The ratio of the local recurrence was of: 13.20% for the lot of patients with abdominoperineal resection, 14.80% for the ones with anterior rectal resections and 17.25% at the patients with Hartmann operations. The evolution of the recurrences after years does not emphasize a statistic discrimination by this criterion (Cramer indicator, V=0.643, p-value=0.323 in the case of abdominoperineal resections, Cramer indicator, V=0.573, p-value=0.381 for anterior resections and Cramer indicator, V=0.837, p-value=0.342 for Hartmann operations). It is to be noticed that if one is to monitor the patients with rectal resections in the period between 2000-2005, one can observe a much lower local recurrence ratio – 4.84% (only 3 local recurrences out of 62 cases). The ratio decrease can be explained by the fact that total mesorectal excision was constantly performed. The usage of the preoperative radiotherapy determines major decrease of the recurrence ratio (10.80%), comparable against adjuvant treatment. As a conclusion, the importance of complex, sequencial treatment is emphasized (preoperative radiotherapy – rectal resection through abdomen-perineum/abdomen with total mesorectal excision) for decreasing the recurrence of the disease both local and at distance.

KEY WORDS: RECTAL CANCER, RECURRENT DISEASE, PREOPERATIVE RADIOTHERAPY, RECTAL RESECTION, TOTAL MESORECTAL EXCISION

Correspondence to: Constantin Pleşca MD; e-mail:  



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.