engleski

Staplers in oncologic rectal surgery increase the incidence of low anterior resections of the rectum: analysis of 11 years (1996-2006)

Background. Low rectal cancers pose difficulty in performing low=ultralow colorectal anastomosis after resection which is more physiologic and aesthetic and less mutilating procedure than Miles operation. If low rectal resection is technically or oncologically unacceptable or unsatisfactory then Miles operation is performed. Methods. In 11 years period (1996–2006) all patients with rectal cancers in the Division of abdominal surgery were included in the study. Staplers in rectal surgery were used in the whole study period but continuously and constantly after year 2000. Results. There were 413 patients operated and 149 low anterior resections, 156 Miles operations and remaining operations (Hartmann and palliative) made. During the years number of all operations increased constantly with increasing incidence of low rectal resections. Incidence of Miles operation remained unchanged with value of around 40%. Conclusions. There is increase in the incidence of colorectal carcinoma in general population. With the constant use of staplers in oncologic rectal surgery there is increasing incidence of low rectal resections. Unfortunately incidence of Miles operations remains constant.

Oncologic rectal surgery; Staplers; low anterior resection; Abdominoperineal resection

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