title: Local recurrence after low anterior resection using the EEA stapling device.
abstract: Fifty-five patients underwent curative stapled low anterior resection for rectal adenocarcinomas located 5 to 15 cm from the anal verge. Two patients (3.7 percent) died postoperatively. The mean follow-up for the remaining 53 patients was 40 months. Local recurrence was diagnosed in 17 patients (32 percent), in most (88 percent) within the first two years after surgery. Most local recurrences appeared in patients classified as Dukes' C1 and C2 but, surprisingly, no significant difference was found between rectal tumors of high and low location as regards recurrence. The high rate of recurrence in this series may be attributable to the large number of patients with advanced tumors, and poorly differentiated carcinoma, or both.
authors.affiliation: Department of Surgery "A", Beilinson Medical Center, Petah Tikva, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Ziv
authors.forename: D
authors.initials: D
authors.lastname: Ben-Baruch
authors.forename: A
authors.initials: A
authors.lastname: Waizer
authors.forename: D
authors.initials: D
authors.lastname: Flex
authors.forename: Y
authors.initials: Y
authors.lastname: Wolloch
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000209:etiology*; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D013528:Surgical Staplers