Abstract：
AIM:Rectal cancer shows a high incidence in older patients, however, only few reports focused exclusively on rectal cancer with the exclusion of the surgery of the colon. This retrospective study aims to compare short-term and long-term outcomes for rectal cancer in patients more than 75 years old with that observed in younger patients. MATERIAL OF STUDY:Four hundred consecutive patients operated on for primary rectal adenocarcinoma were collected in a prospective institutional database and divided into two groups: group 1 (≥ 75 years, n =98); group 2 (<75 years, n= 302). Sphincter-saving restaurative proctectomy was the only procedure considered. Main clinical and pathological data, morbidity, clinical anastomotic leakage, reoperation rate, 30-day mortality, overall survival, and cancer-related survival were assessed and compared. RESULTS:In our experience, advanced age itself is not a contraindication for surgical sphincter-saving proctetomy in rectal cancer patients, although it is associated with higher morbidity and mortality. Overall survival is lower in patients over 75 age, but cancer-related survival is not different between the two groups. CONCLUSIONS:In our experience, advanced age itself is not a contraindication for surgical sphincter-saving proctetomy in rectal cancer patients, although it is associated with higher morbidity and mortality. Overall survival is lower in patients over 75 age, but cancer-related survival is not different between the two groups. KEY WORDS:Outcomes, Rectal Cancer, Elderly, Sphincter-saving, Surgery. :Il tumore del retto ha un’alta incidenza nei pazienti anziani ma pochi dati sono presenti in letteratura rispetto al tumore del colon. L’ obiettivo del nostro studio è quello di comparare i risultati in termini di dati clinici e patologici post-operatori, di sopravvivenza e di sopravvivenza cancro-correlata, tra due gruppi di pazienti (gruppo 1: ≥ 75 anni, n =98; gruppo 2: <75 anni, n= 302) affetti da tumore del retto sottoposti ad intervento di proctectomia restaurativa con rispetto dell’ integrità anatomo- funzionale dello sfintere anale. I nostri risultati non mostrano nessuna differenza statisticamente significativa tra i due gruppi, in particolar modo per il dato della sopravvivenza cancro-correlata. La sopravvivenza globale risulta essere inferiore nel gruppo dei pazienti anziani rispetto ai pazienti con età minore dei 75 anni.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Ammendola M,De Luca R,Sammarco G,Sacco R,Montemurro Ssubject
Has Abstractpub_date
2016-01-01 00:00:00pages
257-62eissn
0003-469Xissn
2239-253Xpii
S0003469X16024726journal_volume
87pub_type
杂志文章abstract：:The paper reports the author's experience of the use intraperitoneal of Gore-Tex Dual Mesh Biomaterial in large incisional hernia operations in patients over seventy. From January 1999 to December 1999 we operated on 24 patients for treatment of abdominal wall defect. In all patients we used a Dual Mesh Plus Biomateri...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：BACKGROUND:Laparoscopic approach to patients with suspected small bowel obstruction (SBO) is not yet widely accepted nor clearly standardized; due to the absence of randomized trials, many questions still remain matter of debate. METHODS:By describing a single typical case of acute intestinal occlusive syndrome in a 8...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-04-07 00:00:00
abstract：:Head and neck surgery presents a high operating risk of infectious complications. We agree upon the fact that 60% of the so-called infected operations would be complicated by secondary infections if they are not treated by antibiotic therapy. Such a premise justifies the more and more used application of a chemoprophy...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：:Hereditary spherocytosis (HS) is a common inherited hemolytic anemia caused by a defective erythrocyte cellular membrane. Irrespective of type of surgery performed, several case reports comparing the two type of procedures, have not proven any significant difference between serum bilirubin, serum hemoglobin, red blood...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2018-01-01 00:00:00
abstract：:Venous aneurysms are rare lesions and of little significance in every day clinical practice. While in many cases asymptomatic they can be the cause of great morbidity due to thrombosis and subsequent possibility of pulmonary embolism. Venous aneurysms are classified in deep and superficial according to affected vein. ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-10-14 00:00:00
abstract：:The authors report their experience about the clinical significance of the invasion of veins (BVI) in 68 patients with colorectal carcinoma, submitted to potentially curative surgery in the period 1980-1988. Every patient was screened for BVI. The tumoral spreading was differentiated into endovascular and perivascular...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：UNLABELLED:Ectopic thyroid goiter accounts approximately for 1% of all substernal goiters and for 10-15% of all mediastinal masses. Sternotomy is generally accepted as the most adequate approach for the removal of ectopic thyroid goiters of the anterior mediastinum. We report two cases of mediastinal ectopic goiter rem...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-05-01 00:00:00
abstract：:Hepatocellular carcinoma (HCC) is a slowly growing tumor, whose natural history is not completely known. Since the hepatocarcinogenetic process may evolve for years in a stepwise fashion from premalignant to overt HCC, detection of early, better treatable tumors is made possible by surveillance of patients at risk. A ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:Desmoid-type fibromatosis (DTF) is a "locally aggressive, but not metastasizing" proliferation of soft tissues that is difficult to diagnose pre-operatively. Surgical en bloc resection of abdominal DTF can be difficult or an overtreatment. The diagnosis is therefore crucial for the decision making to minimiz...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2014-12-12 00:00:00
abstract：BACKGROUND:CD10 is a metalloprotein that is potentially associated with greater tumour growth. MATERIALS AND METHOD:We have correlated CD10 positive in carcinomatous polyps with tumour size, grade, patient age and sex, postoperative TNM staging and Asler-Coller classification. We have matched these cases with a contro...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
abstract：AIM:This study is a critical review of conservative office treatments of haemorrhoidal disease. MATERIAL OF STUDY:Many are outpatient techniques proposed in current literature; several with small series, anecdotal ones or some ones yet abandoned for excessive morbidity (for example anal divulsion, dilatation and so on...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2011-09-01 00:00:00
abstract：AIM:We propose our experience in soft tissue reconstruction in Hemifacial microsomia using a free fascioadiposal flap. MATERIAL OF STUDY:Hemifacial microsomia (HFM) is a congenital disorder characterized by craniofacial malformation of one or both sides of the lower face. A 18-year-old female presented with hemifacial...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：:Cavernous hemangioma is the most common benign tumor of the liver. Most patients are asymptomatic and the tumor is discovered incidentally during diagnostics procedures, at laparotomy or at autopsy. Only 10% of hepatic hemangiomas reach dimensions that need surgical treatment. The role of surgical excision in their tr...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：AIMS:We aim to test and compare the effects of Flavonoids (Fs) and Centella asiatica (Ca), and the traditional treatment to find out which best deals with healing time, bleeding and pain in the treatment of chronic Anal Fissure (AF). Materials of Study: 98 outpatients were divided randomly into treated (either Fs or Ca...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2018-01-01 00:00:00
abstract：AIM:The aim of our study was to evaluate the efficacy of a new treatment of recurrent varicose vein after stripping of the great saphenous vein with rigid radiofrequency needles. MATERIAL OF STUDY:37 patients enrolled (11 males and 26 females). 10 patients had recurrent varicose veins for the presence of residual refl...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION:Lichtenstein hernia repair made revolutionary progress in hernia treatment. Since that a lot of modifications have been proposed. In a few of them attention is drawn to spermatic cord isolation from a mesh for prevention of spermatic cord involvement into inflammatory process which may lead to disturbances...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：:Review of the most significant surveys (data base: Pub Med on September 2003) of elective open surgery for Juxtarenal aneurysms and personal results of 106 cases (9.3% of AAA consecutively operated in the last 11 yrs.) are reported. Mortality and morbidity are discussed related to: technique of aortic cross-clamping; ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-03-01 00:00:00
abstract：:In the last ten years etiology's frequency of non-neoblastic bowel occlusions has changed. Headway against occlusions percentage decreasing due to post-operative stenosis, hernial strangulation, adhesional bridles, etc., mechanical ileus observations increase in percentage round about 20%, as colon acquired diverticul...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：:In the period 1992-1997, 211 cases of acute pancreatitis were observed: 81 grave cases; 130 slight cases. The ERCP and endoscopic sphincterotomy were performed in 84 cases. From the critical revision 2 groups of patients emerged, homogeneous for etiology and clinical classification, the first submitted to ERCP within ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：BACKGROUND:Gastro Intestinal Stromal Tumors (GISTs) are defined as mesenchymal tumours that develop within the wall of the gastrointestinal tract. Surgery is the treatment of choice and may be indicated for locally advanced or previously non resectable disease after a favorable response to preoperative therapy with tyr...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:Colo-rectal endometriosis represents a rare pathological event. Exceptionally, a malignant colo-rectal endometrioid carcinoma arising from endometriosis has been reported. In the present case, we describe a 32 year-old woman with clinical and radiological signs of large bowel sub-occlusive syndrome. Histologically, a ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
abstract：AIM:Macromastia is a social health problem that causes high discomfort in the patients. Goals of reduction mammaplasty are to alleviate physical emotional and psychosocial problems and to restore a conical shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with super...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:Cervical carotid dissection is more common in extracranical vessel: internal carotid artery dissection (ICAD) is typical, vertebral artery dissection is uncommon, common carotid artery dissection (CCAD) is rare and even a more rare cause of ischemic stroke. Cervical artery dissections account up to 20-25% of...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-09-18 00:00:00
abstract：:The aim of this study was to analyse the clinical course, surgical strategy and results in patients with perforated large bowel diverticulitis. Over a 15-year period ending in January 1997, 25 patients (13 males and 12 females; mean age 64.1 years) underwent operation for perforation of acute diverticulitis. Depending...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Since discovered in 1990, Cag A, a protein expressed by specific strains of Helicobacter pylori, was thought able to explain why only a few Helicobacter infected patients develop peptic diseases and gastric cancer. However, clinical trials provide discordant results. MATERIALS AND METHODS:In this study we e...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:A correlation between the location of mutation in the adenomatous polyposis coli (APC) gene and clinical manifestations of familial adenomatous polyposis (FAP) has repeatedly been reported. Some Authors suggest the use of mutational analysis as a guide to select the best surgical option in FAP patients. Howe...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:The treatment of acute diverticulitis is a matter of debate and has undergone significant changes. Currently the main focus of surgical treatment is a more conservative and less invasive management. AIMS AND METHODS:To focus the role of surgery in the treatment of acute diverticulitis, the Authors have cond...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:JGCA Gastric Cancer Treatment Guidelines (2004) include Laparoscopic Assisted Distal Gastrectomy (LADG) within the chapter of modified surgery. A metanalysis published in 2010 shows that LADG is significantly superior to Open Distal Gastrectomy (ODG) if comparing short term outcomes. Oncologic results prove ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND AND AIMS:The NMVH of the intestine is a rare lesion, typical located in the small bowel. After the first 2 cases, reported in 1982, other 12 cases have been described, ten localized in the jejunual or ileal tract, only 1 in the cecum. SUBJECTS AND METHODS:A case of NMVH of the duodenum, simulating a Crohns ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2005-03-01 00:00:00
abstract：:Anal stenosis is a fibrous narrowing of the anal channel. It develops, in most cases, in the aftermath of proctologic surgical procedures with extensive anoderm excision or in the presence of chronic anal inflammation in patients with Crohn Disease. However rare, this condition is thoroughly debilitating for the patie...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2018-01-01 00:00:00
