Suci Rahayu Evasha., Working at RSUD Raden Mattaher Jambi. Follow. Published on Oct 8, 0 Comments; 0 Likes; Statistics; Notes. Full Name. Comment. Nagtegaal I D, de Velde C J van, Marijnen C A, Krieken J H van, Quirke P. Low rectal cancer: a call for a change of approach in abdominoperineal resection. Nagtegaal ID, van de Velde CJ, Marijnen CA, van Krieken JH, Quirke P, Dutch Colorectal Cancer G. et al. Low rectal cancer: a call for a change.

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Resection of the rectum with construction of a colonic reservoir and colo-anal anastomosis for carcinoma of the rectum. Adjuvant therapy, in general, has been highly recommended for patients with stage III or high-risk stage II rectal cancer. Journal List Med Arch v.

Prevalence and prognosis of synchronous colorectal cancer: Journal of Surgical Oncology. The transverse coloplasty is created by an cm longitudinal colotomy between the colonic tenia, beginning cm proximal to the distal end of the mobilized descending colon, and approximating the incision transversely. Fewer postoperative complications and high recurrence rate are pros and cons of this technique, respectively.

Historically, a tumor whose distal margin was below 5 cm from the anal verge could not be treated with anything less than an abdominoperineal resection. What we found by exploring the colon cancer is that they were extremely fa CEA and CA values in patients who have had cancer in the right hemicolon. Effective treatment with internal sphincter resection mandates that the tumor not penetrate the internal sphincter.

However, there is no clear evidence decti on the best approach; initial resection of the primary tumor or initial systemic therapy A statistically significant increased risk for colon cancer has been reported with increased height.


Wider margins on the perianal skin are taken for lower lesions. According to localization 77 patients had carcinoma located in the area of the rectum and sigma Based on the venous drainage of the upper rectum via the portal system, most common site of hematogenous metastasis is liver, followed by the lungs and bone; however, adlah rectum drains into the inferior rectal vein and then into the inferior vena cava and it may metastasize initially to the lungs 18 – Similar outcome after colonic pouch and side-to-end anastomosis in low anterior resection for rectal cancer: CRC, as one of the major public health problems, is the third most common cancer in men and the second in women in the world with a lifetime probability of 4.

It is full-thickness excision of the rectal cancer with a negative deep margin and a minimum lateral margin of 1 cm.

Rectovesical pouch is a peritoneum-lined recess between the rectum and the posterior aspect of the bladder. Primary repair and prolonged Foley catheterization are usually the only therapy required, although there is a small risk of stricture depending on the nature of the injury. The New England Journal of Medicine. Although a large drop in the number of rectal cancers has been found in adults aged 65 and older The proximal cut end of the sigmoid or descending colon is grasped with a ringed forceps and drawn out through the opening.

Cancer Antigens (CEA and CA ) as Markers of Advanced Stage of Colorectal Carcinoma

Hong N, Park SH. Over the long-term, the ostomy may retract if the patient gains significant weight or parastomal herniation may occur. This maneuver can be assisted by the abdominal operator in the synchronous approach to avoid injury to the presacral plexus or damaging the recto specimen.


The most common treatment strategy is to rceti a palliative colorectal resection in order to treat or prevent complications of the primary tumor such as intestinal obstruction, perforation, or hemorrhage.

CRC screening in this group is performed using structural exams or stool tests which may be used alone or in combination to improve sensitivity. A quality of life assessment. Healthy cells grow and divide in an orderly way to keep your body functioning normally.

Environmental factors such as diet and physical activity can also affect the risk. Distal rectal tumors with nonaggressive features can be resected by local excision; however, it is not recommended for tumors located in proximal part of rectum.

Rectal cancer: a review

Cancer was twice more common in men than in women. The study was of prospective — retrospective type and included 91 patients hospitalized at the Clinic of gastroenterohepatology in the period fromwith the diagnosis of colon cancer. Table 2 Presence of metastases.

In case of CA19 -9 the highest average values were observed in case recit liver metastases