title: [Amputation of the rectum by the perineosacral approach for anorectal cancer. Indications, results. Apropos of 27 cases].
abstract: Twenty seven patients were operated on by perineo-sacral route for anal or rectal cancer. This technique used between 1965-1982 at the Institut Curie was selected because the patients were very old and/or presented with major visceral disease, where the abdomino-perineal resection was not indicated. There was no post-operative death. The margin were free of disease in every patients. 6/27 died within the 6 post-operative months mainly from cardiovascular disease. While most patients were irradiated pre operatively perineal healing was obtained within 6 months in 18/21 cases. 5 patients died of cancer during the two years following surgery. 16/21 are NED with a follow up 1-12 years. Perineo-sacral route is a good alternative from APR in old patients with cardio-vascular disease.
mesh_terms: D000367:Age Factors; D000368:Aged; D001005:Anus Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D003125:Colostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D010502:Perineum; D011184:Postoperative Period; D012004:Rectal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D012445:Sacrococcygeal Region; D014945:Wound Healing
vernacular_title: Amputation du rectum par voie périnéo-sacrée pour cancer ano-rectal. Indications, résultats. A propos de 27 cas.