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The records of 70 patients undergoing a curative anterior resection at the Surgical Department of the Academic Teaching Hospital in Herford for carcinoma of the rectum between January 1, 1974 and December 31, 1978 were reviewed. There were 6 cases (8,5%) developing suture line and local recurrence between 9 and 16.5 months after anterior resection. In this study a rising CEA-titer was the first evidence of recurrence in only 29% of our patients. Among 9 patients with confirmed local recurrence - 6 from our own and 3 from outside - only 2 (22%) showed an increase in CEA levels above normal. In the face of the poor 5-year survival with secondary abdomino-perineal resection following anterior resection one must ask if the significance of those operative procedures with their technical difficulty is justified. Our own experience of 9 patients with secondary abdominoperineal resection for local recurrence has changed our mind for a more palliative operative procedure in such cases.
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
December 1998,
Journal of the Royal College of Surgeons of Edinburgh,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
June 1999,
Journal of the Royal College of Surgeons of Edinburgh,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
December 1997,
Ugeskrift for laeger,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
January 1989,
International surgery,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
January 2005,
Hepato-gastroenterology,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
December 1986,
Diseases of the colon and rectum,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
October 2010,
The British journal of surgery,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
October 2010,
The British journal of surgery,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
April 1991,
Diseases of the colon and rectum,
J Wedell, and
P Meier zu Eissen, and
H van Calker, and
J Meier zu Eissen, and
A Blanco, and
R Fiedler, and
P Koldowski, and
H W Schlipköter
April 1997,
The British journal of surgery,
