[Treatment of the early form of rectal carcinoma in the elderly].
The early rectal cancer which needs conservative surgical treatment should present some pathological characters: intramucosal site without muscularis invasion (pT1), high or moderate differentiated grading (GI-G2), no lymph node metastasis or vascular invasion. Total mesorectal excision is the gold standard for these neoplasms and permits very low resection or colo-anal anastomosis with sphincter function preserving. However, this type of surgery has still a high percentage of postoperative morbidity and mortality (some authors report respectively 40% and 5%). Therefore the local excision in selected cases is able to preserve the sphincter function and to reduce the postoperative complications with high probability of recovery.
Bruttocao
A
A
Dipartimento di Scienze Chirurgiche e Gastroenterologiche, Sezione di Clinica Chirurgica Geriatrica Facoltà di Medicina e Chirurgia, Università di Padova.
De Santis
L
L
Militello
C
C
Terranova
O
O
D000368:Aged; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009361:Neoplasm Invasiveness; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*