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Is low anterior resection for rectal cancer equally efficient in the hands of non-expertised surgeons?

  • Clinical Study
  • Published:
Hellenic Journal of Surgery

Abstract

Aim-Background

To evaluate the local recurrence rate after potentially curative low anterior resection and to determine factors influencing local recurrence.

Methods

Two hundred and sixty-nine patients were included in this retrospective clinical study. Studied variables were sex, age, location, size, grade and stage of tumour, surgical and histological clearance margins, height of vessel ligation, total mesorectal excision, number of resected and infiltrated lymph nodes and inflammatory response.

Results

Local recurrence rate was 10%. According to univariate analysis, tumours classified as advanced Astler-Coller stage or over 3 cm in size, mild inflammatory reaction, and more than three infiltrated lymph nodes increased the recurrence rate. Multivariate analysis demonstrated that age under 60, enlarged tumour size, high grade, short clearance margin, presence of infiltrated lymph nodes and mild inflammatory reaction were independent negative prognostic factors.

Conclusions

Low anterior resection is a safe and effective procedure in the hands of general surgeons without expertise in rectal surgery.

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Authors and Affiliations

  1. Department of Surgery, General Hospital “Sotiria”, Athens, Greece

    P. Karydakis, Alexandros V. Kyriakidis, G. Svoronos, I. Perysinakis, A. Mystakidis, A. Roumeliotis & Ch. Christakis

  2. Department of Surgery, General Hospital “Sismanogleio”, Athens, Greece

    N. Oiconomou & A. Fotopoulos

  3. Lianolopoulou 1, 33100, Amfissa, Greece

    Alexandros V. Kyriakidis

Authors
  1. P. Karydakis
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  2. Alexandros V. Kyriakidis
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  3. G. Svoronos
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  4. I. Perysinakis
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  5. A. Mystakidis
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  6. N. Oiconomou
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  7. A. Fotopoulos
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  8. A. Roumeliotis
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  9. Ch. Christakis
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Correspondence to Alexandros V. Kyriakidis.

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Karydakis, P., Kyriakidis, A.V., Svoronos, G. et al. Is low anterior resection for rectal cancer equally efficient in the hands of non-expertised surgeons?. Hellenic J Surg 86, 10–18 (2014). https://doi.org/10.1007/s13126-014-0087-z

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  • DOI: https://doi.org/10.1007/s13126-014-0087-z

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