Preoperative Treatment Does Not Improve the Therapeutic Results of Abdominosacral Amputation of the Rectum

Background This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low-rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival. Methods A total of 198 patients wi...

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Published inWorld journal of surgery Vol. 36; no. 7; pp. 1686 - 1692
Main Authors Bębenek, Marek, Tupikowski, Wiesław, Cisarż, Karol, Balcerzak, Alicja, Wojciechowski, Leszek, Stankowska, Anna, Tarkowski, Radosław
Format Journal Article
LanguageEnglish
Published New York Springer-Verlag 01.07.2012
Springer‐Verlag
John Wiley & Sons, Inc
Subjects
Abdominal Surgery
Adenocarcinoma - mortality
Adenocarcinoma - surgery
Adenocarcinoma - therapy
Adult
Aged
Aged, 80 and over
Anorectal Junction
Cardiac Surgery
Chemoradiotherapy, Adjuvant
Female
General Surgery
Humans
Local Recurrence Rate
Male
Medicine
Medicine & Public Health
Middle Aged
Neoadjuvant Therapy
Neoplasm Recurrence, Local
Postoperative Complications
Rectal Cancer Patient
Rectal Neoplasms - mortality
Rectal Neoplasms - surgery
Rectal Neoplasms - therapy
Rectal Stump
Rectum - surgery
Sacral Vertebra
Surgery
Survival Rate
Thoracic Surgery
Treatment Outcome
Vascular Surgery
Wound Healing
Rectal Cancer Patient
Local Recurrence Rate
Anorectal Junction
Rectal Stump
Sacral Vertebra
Online AccessGet full text
ISSN0364-2313
1432-2323
1432-2323
DOI10.1007/s00268-012-1527-y

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Abstract Background This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low-rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival. Methods A total of 198 patients with stage II and III tumors located within 6 cm of the anorectal junction underwent ASAR between 1998 and 2008 and were selected for further analysis. Patients were compared according to the following groups: those who had surgery only (Group A) and those who had preoperative chemoradiotherapy/short-term radiotherapy (Group B). Results There were 44 and 154 patients in Groups A and B, respectively, including 135 males. The median age of the subjects was 63 years (range = 35–88). The median follow-up period was 81 months (range = 23–138). Neither the local recurrence rates (6.8% in Group A vs. 4.6% in Group B, p  = 0.544) nor the 5-year relative survival rates (72.4% in Group A vs. 69.3% in Group B, p  = 0.127) differed significantly between the groups. Conclusion Preoperative therapy in low-rectum cancer does not improve the therapeutic results of ASAR.
AbstractList This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low-rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival. A total of 198 patients with stage II and III tumors located within 6 cm of the anorectal junction underwent ASAR between 1998 and 2008 and were selected for further analysis. Patients were compared according to the following groups: those who had surgery only (Group A) and those who had preoperative chemoradiotherapy/short-term radiotherapy (Group B). There were 44 and 154 patients in Groups A and B, respectively, including 135 males. The median age of the subjects was 63 years (range = 35-88). The median follow-up period was 81 months (range = 23-138). Neither the local recurrence rates (6.8% in Group A vs. 4.6% in Group B, p = 0.544) nor the 5-year relative survival rates (72.4% in Group A vs. 69.3% in Group B, p = 0.127) differed significantly between the groups. Preoperative therapy in low-rectum cancer does not improve the therapeutic results of ASAR.
This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low-rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival.BACKGROUNDThis study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low-rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival.A total of 198 patients with stage II and III tumors located within 6 cm of the anorectal junction underwent ASAR between 1998 and 2008 and were selected for further analysis. Patients were compared according to the following groups: those who had surgery only (Group A) and those who had preoperative chemoradiotherapy/short-term radiotherapy (Group B).METHODSA total of 198 patients with stage II and III tumors located within 6 cm of the anorectal junction underwent ASAR between 1998 and 2008 and were selected for further analysis. Patients were compared according to the following groups: those who had surgery only (Group A) and those who had preoperative chemoradiotherapy/short-term radiotherapy (Group B).There were 44 and 154 patients in Groups A and B, respectively, including 135 males. The median age of the subjects was 63 years (range = 35-88). The median follow-up period was 81 months (range = 23-138). Neither the local recurrence rates (6.8% in Group A vs. 4.6% in Group B, p = 0.544) nor the 5-year relative survival rates (72.4% in Group A vs. 69.3% in Group B, p = 0.127) differed significantly between the groups.RESULTSThere were 44 and 154 patients in Groups A and B, respectively, including 135 males. The median age of the subjects was 63 years (range = 35-88). The median follow-up period was 81 months (range = 23-138). Neither the local recurrence rates (6.8% in Group A vs. 4.6% in Group B, p = 0.544) nor the 5-year relative survival rates (72.4% in Group A vs. 69.3% in Group B, p = 0.127) differed significantly between the groups.Preoperative therapy in low-rectum cancer does not improve the therapeutic results of ASAR.CONCLUSIONPreoperative therapy in low-rectum cancer does not improve the therapeutic results of ASAR.
Background This study reviewed the impact of preoperative chemoradiotherapy/short‐term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low‐rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival. Methods A total of 198 patients with stage II and III tumors located within 6 cm of the anorectal junction underwent ASAR between 1998 and 2008 and were selected for further analysis. Patients were compared according to the following groups: those who had surgery only (Group A) and those who had preoperative chemoradiotherapy/short‐term radiotherapy (Group B). Results There were 44 and 154 patients in Groups A and B, respectively, including 135 males. The median age of the subjects was 63 years (range = 35–88). The median follow‐up period was 81 months (range = 23–138). Neither the local recurrence rates (6.8% in Group A vs. 4.6% in Group B, p = 0.544) nor the 5‐year relative survival rates (72.4% in Group A vs. 69.3% in Group B, p = 0.127) differed significantly between the groups. Conclusion Preoperative therapy in low‐rectum cancer does not improve the therapeutic results of ASAR.
Background This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low-rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival. Methods A total of 198 patients with stage II and III tumors located within 6 cm of the anorectal junction underwent ASAR between 1998 and 2008 and were selected for further analysis. Patients were compared according to the following groups: those who had surgery only (Group A) and those who had preoperative chemoradiotherapy/short-term radiotherapy (Group B). Results There were 44 and 154 patients in Groups A and B, respectively, including 135 males. The median age of the subjects was 63 years (range = 35–88). The median follow-up period was 81 months (range = 23–138). Neither the local recurrence rates (6.8% in Group A vs. 4.6% in Group B, p  = 0.544) nor the 5-year relative survival rates (72.4% in Group A vs. 69.3% in Group B, p  = 0.127) differed significantly between the groups. Conclusion Preoperative therapy in low-rectum cancer does not improve the therapeutic results of ASAR.
This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment of low-rectum cancers in terms of postoperative morbidity, local recurrence rates, and survival. A total of 198 patients with stage II and III tumors located within 6 cm of the anorectal junction underwent ASAR between 1998 and 2008 and were selected for further analysis. Patients were compared according to the following groups: those who had surgery only (Group A) and those who had preoperative chemoradiotherapy/short-term radiotherapy (Group B). There were 44 and 154 patients in Groups A and B, respectively, including 135 males. The median age of the subjects was 63 years (range = 35-88). The median follow-up period was 81 months (range = 23-138). Neither the local recurrence rates (6.8% in Group A vs. 4.6% in Group B, p = 0.544) nor the 5-year relative survival rates (72.4% in Group A vs. 69.3% in Group B, p = 0.127) differed significantly between the groups. Preoperative therapy in low-rectum cancer does not improve the therapeutic results of ASAR.[PUBLICATION ABSTRACT]
Author Stankowska, Anna
Tarkowski, Radosław
Bębenek, Marek
Balcerzak, Alicja
Tupikowski, Wiesław
Cisarż, Karol
Wojciechowski, Leszek
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  fullname: Tarkowski, Radosław
  organization: Department of Oncology, Wroclaw Medical University
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CitedBy_id crossref_primary_10_1016_j_ejso_2014_02_244
crossref_primary_10_2174_1871520621666210726134809
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Keywords Rectal Cancer Patient
Local Recurrence Rate
Anorectal Junction
Rectal Stump
Sacral Vertebra
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ProviderPackageCode CITATION
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PublicationCentury 2000
PublicationDate 20120700
July 2012
2012-07-00
2012-Jul
20120701
PublicationDateYYYYMMDD 2012-07-01
PublicationDate_xml – month: 7
  year: 2012
  text: 20120700
PublicationDecade 2010
PublicationPlace New York
PublicationPlace_xml – name: New York
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– name: Hoboken
PublicationSubtitle Official Journal of the International Society of Surgery/Société Internationale de Chirurgie
PublicationTitle World journal of surgery
PublicationTitleAbbrev World J Surg
PublicationTitleAlternate World J Surg
PublicationYear 2012
Publisher Springer-Verlag
Springer‐Verlag
John Wiley & Sons, Inc
Publisher_xml – name: Springer-Verlag
– name: Springer‐Verlag
– name: John Wiley & Sons, Inc
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Snippet Background This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the...
Background This study reviewed the impact of preoperative chemoradiotherapy/short‐term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the...
This study reviewed the impact of preoperative chemoradiotherapy/short-term radiotherapy on abdominosacral amputations of the rectum (ASAR) for the treatment...
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StartPage 1686
SubjectTerms Abdominal Surgery
Adenocarcinoma - mortality
Adenocarcinoma - surgery
Adenocarcinoma - therapy
Adult
Aged
Aged, 80 and over
Anorectal Junction
Cardiac Surgery
Chemoradiotherapy, Adjuvant
Female
General Surgery
Humans
Local Recurrence Rate
Male
Medicine
Medicine & Public Health
Middle Aged
Neoadjuvant Therapy
Neoplasm Recurrence, Local
Postoperative Complications
Rectal Cancer Patient
Rectal Neoplasms - mortality
Rectal Neoplasms - surgery
Rectal Neoplasms - therapy
Rectal Stump
Rectum - surgery
Sacral Vertebra
Surgery
Survival Rate
Thoracic Surgery
Treatment Outcome
Vascular Surgery
Wound Healing
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Title Preoperative Treatment Does Not Improve the Therapeutic Results of Abdominosacral Amputation of the Rectum
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