title: [A 1st experience with radical surgery of cancer of the rectum. Critical analysis of the literature and case reports, with special reference to methods "of security" and to technical guidelines for reducing complications and mortality].
abstract: An analysis of the most recent approaches to oncological surgery of the rectum, with particular reference to methods combining the greatest radicality with the lowest incidence of early and late complications, is followed by the presentation of work carried out over a period of four years at a subsidiary university department. A series of 77 radical operations (50 anterior and 27 abdominoperineal resections) is examined in function of the pre-, intra-, and postoperative measures making up the treatment protocol. The results are in line with the currently growing preference for anterior resection, and underscore the effectiveness of excluding right colostomy as a protective measure in low colorectal anastomosis. An absence of p.o. mortality a low incidence of complications significant with regard to short and long survival, and the data obtained from a short follow-up show that the methods are sound and in line with the more extensive university series, as well as the data in the literature
mesh_terms: D000368:Aged; D003125:Colostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008722:Methods; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000601:surgery*
vernacular_title: Una prima esperienza di chirurgia radicale per cancro del retto. Analisi critica della letteratura e della casistica, con particolare riferimento alla metodologia "di sicurezza" e alla impostazione tecnica per ridurre complicanze e mortalità.