Abstract
AbstractBetween 1973 and 1980, a total of 76 patients with rectal carcinoma underwent rectal resection and restoration of bowel continuity by means of a sutured anastomosis between the colon and anal canal. The pathological characteristics of these tumors were similar to those of all cases of carcinoma of the rectum treated at St. Mark's Hospital between 1948 and 1972. Two patients developed pelvic sepsis following colonic necrosis and anastomotic breakdown. Eight developed pelvic sepsis without major anastomotic breakdown. No patient died as a result of pelvic sepsis. Sixty‐nine of the 70 patients who were able to be assessed were either completely normal functionally or had only minor deficiencies of bowel function.Six patients have been observed to develop recurrent pelvic tumor, localized to the pelvis in 4 and concurrent with the development of widespread metastases in 2. Twenty‐one of 32 patients are alive 3 years and 12 of 19 patients are alive 5 years after a curative operation for rectal carcinoma. These results are comparable with those seen following total excision of the rectum and pelvic floor for similarly sited tumors.
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