Colo-Anal Anostomosis in Low Locally Advanced Rectal Cancer: A Formidable Option in Selected Patients
AbstractBackground. Rectal cancer is a disease that is predominantly seen in the developed World than the developing countries but there is a rising incidence as a result of gradual change of diet to that of the western World and it is seen in much younger age than the Caucasians. Materials and Methods. The study prospectively reviewed all patients clinically and histologically diagnosed with low rectal cancer and managed in this hospital between January 2012 and December 2016. Results. A total of 53 patients were managed aged ranged between 11-77 years with male to female ratio of 1.4:1. The peak age group was 41-50 years accounting for 30.19%. The clinical stage at presentation was Duke’s A, B, and C in 15.85%, 50%, and 34.15 respectively. The histological varieties were Adenocarcinoma in 92.68% and mucinous carcinoma in 7.32%. The procedure performed were resection of the tumor with full through and colo-anal anastomosis for all the cases. The complications recorded were surgical site infection in 13.21, enterocutaneos fistula in 1.89%, recurrence of 5.66% and mortality of 1.89%. Conclusion. Rectal cancer in developing countries is on the rise, community health education, early detection through screening of the vulnerable age groups, and adequate multidisciplinary treatment reduces morbidity and mortality. Among the operative procedures for the treatment of low tumors colo-anal anastomosis has been found to be a formidable option.Keywords: low rectal cancer, colo-anal anastomosis, formidable option, our experience
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