title: [Results of 10 years' experience with peranal Parks and Stuart extirpation of villous and tubulo-villous adenomas of the rectum].
abstract: From 1973 to 1983 68 patients with villous and tubulovillous adenomas were operated by the peranal technique of Parks and Stuart. Seven patients had a circumferential adenoma and in ten patients (14.7%) an invasive cancer was found, four patients with Dukes A and six patients with Dukes B. The lethality of the 68 patients was 1.5% and the morbidity 4.5%. By a follow-up between 5 and 15 years the recurrence rate was 20.9%. There was no recurrence of cancer, especially not in the two patients with primary excision of an invasive carcinoma.
authors.affiliation: Abteilung Colo-Proktologie, Kreiskrankenhauses Herford, Akademisches Lehrkrankenhaus.
authors.forename: J
authors.initials: J
authors.lastname: Wedell
authors.forename: R
authors.initials: R
authors.lastname: Fischer
authors.forename: P
authors.initials: P
authors.lastname: Meier zu Eissen
authors.forename: G
authors.initials: G
authors.lastname: Banzhaf
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007417:Intestinal Polyps / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011351:Proctoscopy; D012004:Rectal Neoplasms / Q000601:surgery*; D012086:Reoperation
vernacular_title: Ergebnisse einer 10jährigen Erfahrung mit der peranalen Exstirpation nach Parks und Stuart villöser und tubulo-villöser Adenome des Rectums.