Surgical treatment of cancer rectum at NCI Cairo

ABSTRACT

Two hundred and six cases [132 males and 74 females with a male to female ratio 1.8 1, their ages ranged between 15 years 85 years with a mean age of 44.9 years] of malignant tumors of the rectum were admitted and treated at NCI, Cairo University, in a 5 years period [1977-1981]. The main presenting symptom was bleeding per rectum. The level of the lesion was lower 1/3 [160 cases], middle 1/3 [28 cases], upper 1/3 [10 cases], unknown [8 cases]. The main pathological type was adenocarcinoma [160 cases]. Out of 206 cases, 170 were subjected to exploration, 50 cases proved to be inoperable [29.4%], 120 cases [70.5%] were subjected to curative resection. Abdominoperineal resection was done in 109 cases and anterior resection was done in 11 cases. Postoperative complications in cases subjected to curative resection [120] occurred in 47 cases representing [39.2%] and operative mortality was [6.4%]. Follow up period ranged between 6 months and 4 years, only 101 cases with curative resections had complete follow up data. Local recurrence occurred in 30 cases [29.7%], distant metastases in 18 cases [17.8%], while 11 cases [10.9%] had concomitant local recurrence and distant metastases. Forty-two cases [41.6%] were free in the follow up period