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Local recurrence after low anterior resection using the EEA stapling device.

Y Ziv1, D Ben-Baruch, A Waizer

  • 1Department of Surgery "A", Beilinson Medical Center, Petah Tikva, Israel.

Diseases of the Colon and Rectum
|December 1, 1988
PubMed
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Stapled low anterior resection for rectal cancer showed a 32% local recurrence rate, primarily in advanced tumors. Tumor location did not significantly impact recurrence risk in this study.

Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Gastrointestinal Oncology

Background:

  • Rectal adenocarcinomas require effective surgical management.
  • Low anterior resection is a common surgical approach.
  • Stapled techniques aim to improve outcomes in rectal cancer surgery.

Purpose of the Study:

  • To evaluate the oncologic outcomes of stapled low anterior resection for rectal adenocarcinomas.
  • To determine the local recurrence rate after this procedure.
  • To identify factors associated with recurrence.

Main Methods:

  • Fifty-five patients with rectal adenocarcinomas underwent curative stapled low anterior resection.
  • Tumors were located 5 to 15 cm from the anal verge.
  • Follow-up averaged 40 months, with analysis of local recurrence rates and patterns.

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Main Results:

  • A 3.7% postoperative mortality rate was observed.
  • The local recurrence rate was 32% (17 of 53 patients), with most occurring within two years.
  • Recurrence was more common in Dukes' C1 and C2 stages, but tumor location (high vs. low) did not significantly affect recurrence.

Conclusions:

  • Stapled low anterior resection for rectal adenocarcinoma is associated with a significant local recurrence rate.
  • Advanced tumor stage and poorly differentiated histology may contribute to higher recurrence.
  • Further research is needed to optimize surgical techniques and adjuvant therapies to reduce recurrence after rectal cancer surgery.