[Surgical treatment of locoregional recurrence of colorectal cancer treated by an anal sphincter-conserving procedure].
Between 1980 and 1985, the authors have treated 26 recurrences of a colon or rectal cancer in patients in whom the sphincter apparatus was preserved. In 9 cases only a curative repetitive excision was possible with 3 patients currently alive, without recurrences (8 months, 12 months, 50 months). 11 patients underwent another excision, which was only a palliative one. When no surgical procedure is feasible, the evolution is rapidly fatal. According to the literature, the capabilities of "curative" excision vary between 16 and 47% with often disappointing results. Prevention of these recurrences does not depend probably on the extension of the first excision but on a much earlier screening process. The treatment is surgical and only complete excision may let hope for an adequate survival. The surgical approach depends on the site of the recurrence in relation to the upper pelvic strait and the invasion of peritumoral structures.
Service de Chirurgie Générale et Digestive, Hôpital Bichat, Paris.
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A
Olivier
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A
Penchet
J J
JJ
Fasano
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H
Charleux
D000368:Aged; D001003:Anal Canal; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011379:Prognosis; D012004:Rectal Neoplasms / Q000601:surgery*
Traitement chirurgical des récidives locorégionales des cancers colo-rectaux traités par un procédé ayant conservé le sphincter anal.