S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 28 No.4 (1987)
Local Recurrence after Curative Resection of Rectal Cancer in Relation to Various Factors
직장암수술후 국소재발의 유발인자에 관한 연구
- Kim, Sun Whe; Park, Jae-Gahb; Hong, Song Cook; Kim, Jin-Pok
- Issue Date
- Seoul J Med, Vol.28 No.4, pp. 321-329
- To analyze the relationship between local recurrence and various clinical and
pathological features, 339 cases who had undergone curative surgery for rectal cancer during
10 year period were reviewed. Dukes stage, especially extent of lymph node metastasis, and
grade of histologic differentiation are associated with risk of local recurrence. Tumor size (5 ern
.>, 5 em <) and location (upper, mid, low), duration of symptom (6 month .>, 6 month - 1
year, 1 year <) and presence or absence of obstructive symptom are not associated with risk
of local recurrence.
To determine the adequate minimal length of distal resection of nonual lookinq rectum, rate
of local recurrence and survival of the cases who had undergone sphincter saving operation
were analysed according to the length of distal resected rectum (2 ern .>, 2-5 em, 5 cm <).
The result shows that to reduce local recurrence, especially anastomotic recurrence, after
sphincter saving operation, at least 2 cm of distal rectum should be resected and this is more
true in the cases without lymph node metastasis.