대한대장항문학회

This is a retrospective clinical analysis of 108 cases of the rectal carcinoma who<br>treated surgically at the department of Surgery Chosen University Hospital between<br>January 1980 and December 1989.<br>The result as follows :<br>1) There was 52 male patients(48.1％) and 56 female patients(51 .9%). The most<br>prevalent group of age was 6th decade.<br>2) The most common site of rectal cancer was between 6 to loom from anal verge.<br>Its was 47 cases(43.5% ).<br>3)Rectal bleeding as the most common symptom(74.1%), followed by altered bowel<br>habit (66.7%), abdominal pain(38.9%).<br>4) The distribution according to Duke's classification was as follows; A : 4.6%, B :<br>25.0%, C: 40.7%,D:29.6%<br>5) The operation performed included abdominoperineal resection in 47 cases(43.5%),<br>low anterior resection in 22 cases(20.4% ).<br>6) The most common histopathologic type of rectal cancer was adenocarcinoma.<br>7) The most frequent postoperative complication were wound<br>infection(15.7%),<br>anastomotic leakage(7.4%), Pelvic abscess(5.6%).<br>8) Local recurrence rate of curative operation was 19. 1% in Mile's operation and<br>13.6% in low anterior resection.<br>9) The most common metastatic site was tiller(12.8％) and therapy method of<br>recurrent rectal cancer was reoperation(30.0%), chemotherapy(86.7%),<br>radiation<br>therapy(26.7％) etc.<br>10) The 3-rear survival rate following Duke's classification A : 80.0%, B : 56 5%,<br>C:40.0%,D: 15.4%.<br>