Recurrent carcinoma after low anterior resection of the rectum using the EEA staple gun.
In a consecutive series of 35 patients with colorectal carcinoma, low anterior rectal resection was performed, using the EEA staple gun. After a median observation time of 28 months, 7 (20%) of the patients were found to have local recurrence of cancer. The importance of tumor growth into the nerves and/or vessels was emphasized by the significantly higher incidence of local recurrence and/or distant metastases in such patients (10/12) than in patients without this involvement (6/23). An apparently increased incidence of local recurrence after stapled rectal anastomosis and possible mechanisms are discussed.
D000328:Adult; D000368:Aged; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013528:Surgical Staplers / Q000009:adverse effects*