Affiliation:
1. Basingstoke Bowel Cancer Clinic, Basingstoke District Hospital, Basingstoke, Hampshire
Abstract
Abstract
Five cases are described where minute foci of adenocarcinoma have been demonstrated in the mesorectum several centimetres distal to the apparent lower edge of a rectal cancer. In 2 of these there was no other evidence of lymphatic spread of the tumour. In orthodox anterior resection much of this tissue remains in the pelvis, and it is suggested that these foci might lead to suture-line or pelvic recurrence. Total excision of the mesorectum has, therefore, been carried out as a part of over 100 consecutive anterior resections. Fifty of these, which were classified as ‘curative’ or ‘conceivably curative’ operations, have now been followed for over 2 years with no pelvic or staple-line recurrence.
Publisher
Oxford University Press (OUP)
Reference15 articles.
1. Leading Article: Colorectal surgery—the Cinderella specialty;Br. Med. J.,1981
2. A new approach to rectal cancer;Heald,1979
3. The clinical significance of invasion of veins by rectal cancer;Talbot;Br. J. Surg.,1980
4. Histopathology reporting in large bowel cancer;Blenkinsopp;J. Clin. Path,1981
Cited by
2396 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献