[Pelviperineal recurrences in surgery of rectal carcinoma]

A series of pelviperineal recurrences after perineal-abdominal amputation of the rectum and after anterior resection is examined. Involvement of the rectal wall, the biological behaviour of the tumour, and lymphatic diffusion represent the main causes of recurrence. In some instances, the choice of anterior resection in the treatment of middle rectum carcinoma may constitute a risk factor.