title: Elective resection of rectal cancer primary tumor in patients with stage IV disease--own experiences.
abstract: Optimal management of asymptomatic generalized rectal cancer is still the matter of debate. The aim of the study was to review stage IV rectal cancer patients who were treated in our clinic since 2000 till 2008 in order to evaluate the effectiveness of surgery.
  
  
  METHODS
  Fifty-two generalized rectal cancer patients treated with elective resection of primary tumor were identified. Patients' age, sex, duration of hospital stay, modality of surgery, complications, postoperative mortality rate and survival rate were assessed.
  
  
  RESULTS
  Median survival was 16.3 months. Postoperative complications occurred in 29% patients. Postoperative mortality rate was 1.9%.
  
  
  CONCLUSIONS
  In properly selected group of patients elective resection of primary tumor may cause low mortality rate and acceptable morbidity rate. This surgical modality allows to avoid potential complications of tumor local growth.
authors.affiliation: Department of Surgical Oncology, Pomeranian Medical University in Szczecin.
authors.forename: Mirosław
authors.initials: M
authors.lastname: Halczak
authors.forename: Piotr
authors.initials: P
authors.lastname: Wojtasik
authors.forename: Tariq
authors.initials: T
authors.lastname: Al-Amawi
authors.forename: Józef
authors.initials: J
authors.lastname: Kładny
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008113:Liver Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology; D012004:Rectal Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome