Abstract
Twenty-five patients with invasive rectal cancer treated by transanal excision between 1978–1989 are presented. Two patients had poorly differentiated tumours and were converted to abdominoperineal resection and one patient had extensive liver metastases documented preoperatively. The remaining twenty-two, mean age 64 years, fulfilled the criteria for local treatment. Eighty-two percent of tumours were T 1 or T 2 stage. There was no operative mortality. Six complications in five patients occurred, none requiring surgical intervention. Five patients died of unrelated causes without evidence of recurrence at 4, 4, 14, 26 and 58 months. The length of follow-up for the surviving group (17 patients) was 16 to 115 months (mean 63 months). Two patients developed local recurrence at 32 and 60 months. Transanal excision can be curative for selected rectal cancers.
Résumé
Trente-cinq patients porteurs d'un cancer rectal invasif ont été traités par une excision transanale entre 1978 et 1989. Deux patients sont porteurs d'une tumeur peu différenciée et ont dû étre traités par une amputation abdomino-périnéale; un patient avait des métastases hépatiques extensives mises an évidence au cours de l'intervention chirurgicale. Les 22 patients restants âgés en moyenne de 64 ans répondaient aux critères autorisant un traitement local. Quatre-vingt deux pourcents des tumeurs étaient de stade T 1 ou T 2. Aucune mortalité postopératoire n'est à déplorer. Six complications sont survenues chez 5 patients mais aucune d'elle n'a nécessité d'intervention chirurgicale. Cinq patients sont décédés de causes indépendantes de la lésion tumorale, sans évidence de récidives à 4, 4, 14, 25 et 58 mois de l'intervention. La durée du follow-up des patients vivants (17 patients) varie de 16 à 115 mois (moyenne=63 mois). Deux patients ont développé une récidive locale à 32 et 60 mois. L'excision transanale peut donc être considérée comme curative dans un collectif sélectionné de patients porteurs de cancer du rectum.
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Read, D.R., Sokil, S. & Ruiz-Salas, G. Transanal local excision of rectal cancer. Int J Colorect Dis 10, 73–76 (1995). https://doi.org/10.1007/BF00341199
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DOI: https://doi.org/10.1007/BF00341199