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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

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Related Experiment Video

Updated: Jun 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Local recurrence after abdomino-perineal resection.

M Davies1, D Harris, D Harries

  • 1Department of Colorectal Surgery, Singleton Hospital, Swansea, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|December 17, 2008
PubMed
Summary
This summary is machine-generated.

Local recurrence after rectal cancer surgery, specifically abdomino-perineal resection (APR), was evaluated. The study found low local recurrence rates with APR, comparable to other surgical methods for low rectal cancer.

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Area of Science:

  • Surgical Oncology
  • Colorectal Surgery

Background:

  • Local recurrence of rectal cancer is a significant cause of patient morbidity and mortality.
  • Published rates of local recurrence after abdomino-perineal resection (APR) for rectal cancer vary widely.

Purpose of the Study:

  • To evaluate the rate of local recurrence following curative abdomino-perineal resection (APR) for low rectal cancer.
  • To compare recurrence rates between APR and restorative operations.

Main Methods:

  • Retrospective review of medical records for patients treated between 1996 and 2000.
  • Definition of local recurrence based on clinical, pathological, or radiological confirmation.
  • Curative resection defined by margin status and absence of metastatic disease.

Main Results:

  • 139 of 200 patients (69.5%) underwent curative resection; 40 (28%) had APR.
  • Two patients (5%) experienced local recurrence after APR.
  • The overall local recurrence rate for all curative rectal cancer surgeries was 2.6%.

Conclusions:

  • Local recurrence rates with APR were not significantly different from restorative operations.
  • Radical en bloc excision of low rectal tumors, including the levator ani, is recommended.