[Anterior resection for cancer of the middle third of the rectum, though always possible, is it desirable?].
Description with details of an operative procedure for anterior resection (A.R.) of rectal carcinoma, with low colorectal anastomosis using circular stapling device. It is quite always possible. Is it desirable? The number of local and regional recurrencies after A.R. for Dukes B and C carcinomas of the mid third of the rectum, higher than in case of Miles operation, incite to ask the question. The five year survival being the same in the two groups make the answer uneasy, regarding handicaps induced by Miles operation. Would, the association to A.R. of pre-operative radiotherapy and/or immunotherapy, be one step to the solution?
D003106:Colon / Q000601:surgery; D005069:Evaluation Studies as Topic; D006801:Humans; D008722:Methods; D009364:Neoplasm Recurrence, Local; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D013528:Surgical Staplers
La résection antérieure pour cancer du tiers moyen du rectum, toujours possible, est-elle souhaitable?