A STUDY OF THE RECURRENCE RATES IN PATIENTS WITH CARCINOMA ANORECTUM UNDERGOING ABDOMINOPERINEAL RESECTION.

Corresponding Author:
Dr. Hardeep Singh Gill,
Associate Professor, Department of General Surgery,
Gian Sagar Medical College and Hospital,
Banur, Rajpura-140401. Punjab, India.
E-mail: hardeepgill77@gmail.com

ABSTRACT: BACKGROUND: Cancer of colon and rectum is the most common cancer of the gastrointestinal tract. The rates of colorectal cancer in our country are not as high as those seen in the west, but trends require careful observation.

AIMS: In the present study, we have done a retrospective as well as prospective study of patients with carcinoma anorectum undergoing abdominoperineal resection with special emphasis on the recurrence rates, that is local recurrence as well as distant metastasis in the followup of these patients.

MATERIALS AND METHODS: 75 patients operated for APR were studied retrospectively and 25 patients operated for the same were studied prospectively.

RESULTS AND CONCLUSION: It was concluded that abdomino-perineal resection remains the 'gold standard' for low lying (5cm from anal verge) advanced carcinoma anorectum, but local disease recurrence is quite common following APR and distant metastases are also seen, most commonly to the liver and lungs.

KEYWORDS: Carcinoma Anorectum, Abdominoperineal Resection, Colon Cancer, Rectal Cancer, CEA.