Abdominoperineal excision

The procedure and some problems of abdominoperineal excision are briefly outlined. Despite the advances in surgery and anesthesiology, survival has not improved in the last 30 years, and an overall 5‐year survival of about 30–35% is probably a reasonable estimate. However, the local extent of the tu...

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Bibliographic Details
Published in:World journal of surgery 1982-09, Vol.6 (5), p.549-553
Main Authors: Krause, Urban, Påhlman, Lars, Thorén, Lars
Format: Article
Language:English
Subjects:
Abdomen - surgery
Abdominal Surgery
Cardiac Surgery
Colostomy
Humans
Local Recurrence
Methods
Neoplasm Recurrence, Local
Perineum - surgery
Postoperative Complications
Rectal Cancer
Rectal Neoplasms - surgery
Survival Rate
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Summary:The procedure and some problems of abdominoperineal excision are briefly outlined. Despite the advances in surgery and anesthesiology, survival has not improved in the last 30 years, and an overall 5‐year survival of about 30–35% is probably a reasonable estimate. However, the local extent of the tumor has proven to be a very good prognostic index as regards survival frequency, with patients whose tumors are Dukes' stage A having an almost 100% corrected 5‐year survival rate. A relatively high frequency of local recurrence has been noted after local curative operations for rectal cancer, the frequency usually being about 30–60% in unselected patient materials. Résumé Les problèmes pratiques de l'amputation abdomino‐périnéale sont étudiés en insistant sur les techniques opératoires, les résultats précoces et tardifs, les complications.
ISSN:0364-2313
1432-2323
DOI:10.1007/BF01657868