Current trends in the treatment of rectal carcinoma

Authors report their personal experience about 336 cases of curative surgery for rectal cancer. They describe technical surgical details universally accepted in Literature such as sharp total mesorectal excision, the extension of lymphadenectomy with high ligature of inferior mesenteritis artery whi...

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Bibliographic Details
Published in:	Annali italiani di chirurgia Vol. 71; no. 5; p. 577
Main Authors:	Leggeri, A, Balani, A, Turoldo, A, Scaramucci, M, Braini, A
Format:	Journal Article
Language:	Italian
Published:	Italy 01-09-2000
Subjects:	Digestive System Surgical Procedures - methods Humans Rectal Neoplasms - mortality Rectal Neoplasms - pathology Rectal Neoplasms - surgery Survival Rate
Online Access:	Get more information
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Summary:	Authors report their personal experience about 336 cases of curative surgery for rectal cancer. They describe technical surgical details universally accepted in Literature such as sharp total mesorectal excision, the extension of lymphadenectomy with high ligature of inferior mesenteritis artery while pelvic lymphadenectomy seems to be unuseful and burdened by high morbidity; finally they underline advantages offered by a colic pouch above all for lower incidence of anastomotic leakages. As adjuvant therapy is concerned, our actual tendency is a preoperative radiochemiotherapy of which we are still evaluating long-term results. Finally we analyzed correlations between cellular genetics and colo-rectal cancer.
ISSN:	0003-469X