The modern abdominoperineal excision: the next challenge after total mesorectal excision.


OBJECTIVES Examine the cause of local recurrence (LR) and patient survival (S) following abdominoperineal resection (APR) and anterior resection (AR) for rectal carcinoma and the effect of introduction of total mesorectal excision (TME) on APR. METHODS A total of 608 patients underwent surgery for rectal cancer in Leeds from 1986 to 1997. CRM status and… (More)