title: [Surgical treatment of rectal cancer: prognostic factors for long-term survival].
abstract: The aim of our retrospective study was to verify the results of surgical treatment of rectal cancer in a homogeneous case series, evaluating the various factors that can influence the prognosis and long-term results. The prognostic factors taken into consideration were: Duke's stage; grading; colloid component; location of tumour; type of surgical intervention; age; sex; duration of the symptoms; length of normal rectum below the lower border of the tumour correlated to stage and grading. One hundred and sixty-five patients were operated with a radical approach: 50 abdominoperineal resections (APR) and 115 sphincter-saving resections (SSR) were performed. There were 90 males and 75 females. The mean age was 63 years. Total survival was 61.7% after 5 years and 50% after 10 years. In our study neither the age nor the sex, duration of symptoms or location of the tumours proved to have an influence on survival; while Duke's state turned out to be decisive for survival; also the colloid tumour component proved to have a worse prognosis. The 5-10-year survival rate was respectively 53.6% and 49% in the APR and 65.7% and 50.9% in the SSR (p = n.s.). The data we have collected show that APR and SSR operations have analogous efficiency.
authors.affiliation: Divisione di Chirurgia Generale I, Ospedale Mauriziano Umbrto I, Torino.
authors.forename: L
authors.initials: L
authors.lastname: Locatelli
authors.forename: M T
authors.initials: MT
authors.lastname: Fiorentini
authors.forename: B
authors.initials: B
authors.lastname: Ceccopieri
authors.forename: R
authors.initials: R
authors.lastname: Saracco
authors.forename: B
authors.initials: B
authors.lastname: Torchio
authors.forename: S
authors.initials: S
authors.lastname: Marchisio
authors.forename: A
authors.initials: A
authors.lastname: Marcomin
authors.forename: M
authors.initials: M
authors.lastname: Dellepiane
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012004:Rectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors
vernacular_title: Trattamento chirurgico del cancro del retto: fattori prognostici per la sopravvivenza a lungo termine.