Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of Coloproctology (Rio de Janeiro. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000200163 |
Resumo: | ABSTRACT Objectives: To evaluate the rates of abdominoperineal resection in patients with low rectal adenocarcinoma at the Hospital Barão de Lucena – SES/PE. Methodology: This is a study based on the analysis of medical records of patients with low rectal adenocarcinoma submitted to surgical treatment at the Hospital Barão de Lucena Coloproctology Service between 2013 and 2016. Results: It was observed that 77.5% of patients underwent abdominoperineal resection and 22.5% underwent anal sparing surgery. Most of the patients were male (62.5%), were under 70 years old (72.5%), presented a BMI less than 30 kg/m2 (87.5%), presented American Society of Anesthesiologists (ASA) score I and III (82.5%), Rullier classification from I to III (95%) and TNM different from T1–T3 (95%). In 92.5% of medical records, there was no record of fecal continence before surgery. The most frequent period between the end of the radiotherapy and the surgery was over 11 weeks (57.5%); the most common distance from the tumor to the anal margin was between 3.1 and 4.0 cm (35% of patients). Conclusion: There was a high rate of non-sparing anal sphincter surgeries. The only predictive factor for abdominoperineal resection was the presence of tumors classified as Rullier type III and IV. |
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Journal of Coloproctology (Rio de Janeiro. Online) |
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Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in RecifeAdenocarcinomaRectal cancerColorectal surgeryColostomyMagnetic resonance imagingABSTRACT Objectives: To evaluate the rates of abdominoperineal resection in patients with low rectal adenocarcinoma at the Hospital Barão de Lucena – SES/PE. Methodology: This is a study based on the analysis of medical records of patients with low rectal adenocarcinoma submitted to surgical treatment at the Hospital Barão de Lucena Coloproctology Service between 2013 and 2016. Results: It was observed that 77.5% of patients underwent abdominoperineal resection and 22.5% underwent anal sparing surgery. Most of the patients were male (62.5%), were under 70 years old (72.5%), presented a BMI less than 30 kg/m2 (87.5%), presented American Society of Anesthesiologists (ASA) score I and III (82.5%), Rullier classification from I to III (95%) and TNM different from T1–T3 (95%). In 92.5% of medical records, there was no record of fecal continence before surgery. The most frequent period between the end of the radiotherapy and the surgery was over 11 weeks (57.5%); the most common distance from the tumor to the anal margin was between 3.1 and 4.0 cm (35% of patients). Conclusion: There was a high rate of non-sparing anal sphincter surgeries. The only predictive factor for abdominoperineal resection was the presence of tumors classified as Rullier type III and IV.Sociedade Brasileira de Coloproctologia2019-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000200163Journal of Coloproctology (Rio de Janeiro) v.39 n.2 2019reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2019.02.001info:eu-repo/semantics/openAccessMarques,Thiago Alexandre MartinsLucena,Maurilio Toscano deSilva,Mauricio Jose de Matos eCarvalho,Joaquim Herbenio CostaCarvalho,Ana Rita Marinho RibeiroBarros,Juscielle de Souzaeng2019-06-10T00:00:00Zoai:scielo:S2237-93632019000200163Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2019-06-10T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false |
dc.title.none.fl_str_mv |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife |
title |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife |
spellingShingle |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife Marques,Thiago Alexandre Martins Adenocarcinoma Rectal cancer Colorectal surgery Colostomy Magnetic resonance imaging |
title_short |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife |
title_full |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife |
title_fullStr |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife |
title_full_unstemmed |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife |
title_sort |
Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife |
author |
Marques,Thiago Alexandre Martins |
author_facet |
Marques,Thiago Alexandre Martins Lucena,Maurilio Toscano de Silva,Mauricio Jose de Matos e Carvalho,Joaquim Herbenio Costa Carvalho,Ana Rita Marinho Ribeiro Barros,Juscielle de Souza |
author_role |
author |
author2 |
Lucena,Maurilio Toscano de Silva,Mauricio Jose de Matos e Carvalho,Joaquim Herbenio Costa Carvalho,Ana Rita Marinho Ribeiro Barros,Juscielle de Souza |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Marques,Thiago Alexandre Martins Lucena,Maurilio Toscano de Silva,Mauricio Jose de Matos e Carvalho,Joaquim Herbenio Costa Carvalho,Ana Rita Marinho Ribeiro Barros,Juscielle de Souza |
dc.subject.por.fl_str_mv |
Adenocarcinoma Rectal cancer Colorectal surgery Colostomy Magnetic resonance imaging |
topic |
Adenocarcinoma Rectal cancer Colorectal surgery Colostomy Magnetic resonance imaging |
description |
ABSTRACT Objectives: To evaluate the rates of abdominoperineal resection in patients with low rectal adenocarcinoma at the Hospital Barão de Lucena – SES/PE. Methodology: This is a study based on the analysis of medical records of patients with low rectal adenocarcinoma submitted to surgical treatment at the Hospital Barão de Lucena Coloproctology Service between 2013 and 2016. Results: It was observed that 77.5% of patients underwent abdominoperineal resection and 22.5% underwent anal sparing surgery. Most of the patients were male (62.5%), were under 70 years old (72.5%), presented a BMI less than 30 kg/m2 (87.5%), presented American Society of Anesthesiologists (ASA) score I and III (82.5%), Rullier classification from I to III (95%) and TNM different from T1–T3 (95%). In 92.5% of medical records, there was no record of fecal continence before surgery. The most frequent period between the end of the radiotherapy and the surgery was over 11 weeks (57.5%); the most common distance from the tumor to the anal margin was between 3.1 and 4.0 cm (35% of patients). Conclusion: There was a high rate of non-sparing anal sphincter surgeries. The only predictive factor for abdominoperineal resection was the presence of tumors classified as Rullier type III and IV. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000200163 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000200163 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jcol.2019.02.001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro) v.39 n.2 2019 reponame:Journal of Coloproctology (Rio de Janeiro. Online) instname:Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Coloproctologia (SBCP) |
instacron_str |
SBCP |
institution |
SBCP |
reponame_str |
Journal of Coloproctology (Rio de Janeiro. Online) |
collection |
Journal of Coloproctology (Rio de Janeiro. Online) |
repository.name.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP) |
repository.mail.fl_str_mv |
||sbcp@sbcp.org.br |
_version_ |
1752126478662762496 |