ABSTRACT
<p><b>OBJECTIVE</b>To explore the indication and the procedure of reoperation in patients with locally recurrent rectal cancer.</p><p><b>METHODS</b>Clinical data of 35 patients with locally recurrent rectal cancer from January 1998 to December 2002 undergone reoperation were analyzed retrospectively.</p><p><b>RESULTS</b>Among the 35 cases, 19 underwent radical resection, 11 palliative resection and 5 colostomy(or laparotomy). The 5-year survival rates of the radical, palliative and colostomy(or laparotomy) were 35.3%, 18.2% and 0 respectively. Median survival time was 45, 22 and 9 months respectively.</p><p><b>CONCLUSION</b>Optimal reoperation for the patients with locally recurrent rectal cancer can improve the survival rate and quality of life effectively.</p>
Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Neoplasm Recurrence, Local , General Surgery , Neoplasm Staging , Postoperative Period , Rectal Neoplasms , Pathology , Reoperation , Retrospective Studies , Treatment OutcomeABSTRACT
Objective To evaluate the value of double stapling technique with curved cutter stapler in colorectal anastomosis,especially in low colorectal anastomosis. Methods The clinical data of 168 cases of rectal carcinomas treated with double stapling technique with curved cutter stapler were retrospectively reviewed.The intraoperative condition,postoperative complications and findings during follow up were analysed. Results During the operations,the processes of closure and anastomosis of all the patients were satisfactory,and no operative death occurred.After the operations,4 cases(2.4%) had anastomotic leakage,3 cases(1.8%) had anastomotic bleeding,and 2 cases(1.2%) had rectovaginal fistula.All the complications were cured.There was no anastomotic stricture. Conclusion Double stapling technique with curved cutter stapler may help to accomplish low colorectal anastomosis which is a difficult task for handed suture.