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Plea for radical salvage surgery for recurrent cancer of the anal canal |
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| Authors: | Lo Dico Réa Pocard Marc |
| Institution: | 1. CRCDC-IDF, Seine-Saint-Denis site, 41 avenue de Verdun, 93146Bondy, France;2. CRCDC-IDF, Yvelines site, 18 avenue Dutartre, BP 120 - 78153 - Le Chesnay Cedex, France;3. CRCDC-IDF, Essonne site, Centre hospitalier de Bligny CS30365, 91640Fontenay les Briis, France;4. CRCDC-IDF 3, place Adolphe Chérioux75015 Paris, France;5. Hôpital Avicenne (AP-HP), Service d''hépato-gastro-entérologie, 125 rue de Stalingrad, 93000 Bobigny, France |
| Abstract: | Salvage abdomino-perineal resection is justified in case of failure of the conservative treatment of a cancer of the anal canal. This surgery must be offered if surgery could be complete. In case of R0 resection, more than a patient on two will be alive after 5 years. The rate of perineal complication is important and gives proof to accomplish associated procedure to fill up the perineal cavity as muscular flap taken from the abdominal wall, the perineal colostomy that avoids the iliac colostomy or the simple flap of gracilis. This linked procedure allows to diminish the length of healing and improves postoperative time. |
| Keywords: | cancer du canal anal amputation abdomino-périnéale chirurgie de rattrapage chirurgie pelvienne technique chirurgicale anal canal cancer abdominoperineal resection salvage surgery pelvic surgery surgical technique |
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