[Local treatment of "small cancers" of the rectum: excision is preferable to electrocoagulation].
From 1973 to 1990, 50 patients with a "small cancer" of the rectum were treated locally either by electrocoagulation or by local excision using an electrical scalpel. 20 patients were treated by electrocoagulation. Their 5-year actuarial survival was 78.3% and the local recurrence rate was 16.5%. 4 treated patients by local excision had a lesion which invaded the serosa and should have been amputated as primary procedure. Three of them relapsed. 26 patients were treated by local excision for a lesion confined to the rectal wall. Their 5-year actuarial survival was 94.4% and the local recurrence rate was 4.5%. The difference in survival and recurrence was significant between electrocoagulation and excision of a lesion confined to the rectal wall. These results suggest that excision is preferable to electrocoagulation as it allows prediction of the result by pathological examination of the operative specimen.
Istvan
G
G
Service de Chirurgie Digestive, Hôpital Purpan, Toulouse.
Lazorthes
F
F
Lemozy
J
J
Chiotasso
P
P
Gamagani
R
R
Bugat
R
R
D000206:Actuarial Analysis; D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D004564:Electrocoagulation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome
Traitement local des "petits cancers" du rectum: l'excision est préférable à l'électro-coagulation.