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Oncologic outcomes in rectal cancer with close distal resection margins: a retrospective analysis
Annals of Surgical Treatment and Research ; : 23-29, 2015.
Artículo en Inglés | WPRIM | ID: wpr-57052
ABSTRACT

PURPOSE:

The assurance of a negative resection margin is significant in rectal cancer as it indicates a reduced risk of local recurrence; thus, sufficient length of the resection margin is strongly required. The purpose of this study was to analyze the relationship between the length of the distal resection margin (DRM) and local recurrence or survival rate and to evaluate the possibility of performing sphincter-conserving surgery.

METHODS:

The medical records of 218 rectal cancer patients were analyzed. Patients were classified into three groups according to the length of the DRM as follows group 1, DRM 2 cm.

RESULTS:

Of 218 patients enrolled, 81 were in group 1, 66 in group 2, and 71 in group 3. The 5-year survival rates were 78.2%, 78.2%, and 76.8% for groups 1, 2, and 3, respectively, and there were no statistically significant differences in survival (P = 0.913). Local recurrence was found in 2 patients in group 1, 1 patient in group 2, and 1 patient in group 3; there were no statistically significant differences in local recurrence (P = 0.908).

CONCLUSION:

A DRM of < 1 cm did not impair the oncologic outcomes of rectal cancer patients. Our results indicated that surgeons should keep in mind to consider the option of sphincter-conserving surgery with adjuvant chemoradiotherapy even in very low rectal cancer.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias del Recto / Recurrencia / Registros Médicos / Tasa de Supervivencia / Estudios Retrospectivos / Quimioradioterapia Adyuvante / Recurrencia Local de Neoplasia Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Inglés Revista: Annals of Surgical Treatment and Research Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias del Recto / Recurrencia / Registros Médicos / Tasa de Supervivencia / Estudios Retrospectivos / Quimioradioterapia Adyuvante / Recurrencia Local de Neoplasia Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Inglés Revista: Annals of Surgical Treatment and Research Año: 2015 Tipo del documento: Artículo