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Updated: Jun 27, 2026
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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.
Summary
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.
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.
