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Abstract

A STUDY OF THE COMPLICATIONS OF ABDOMINOPERINEAL RESECTION IN PATIENTS SUFFERING FROM CARCINOMA ANORECTUM

*Dr. Hardeep Singh Gill, Dr. Puneet Jain, Dr. Anantbir Singh, Dr. Satish Jain

ABSTRACT

In the present study we have done a retrospective as well as prospective study for the profile of patients with carcinoma anorectum undergoing abdominoperineal resection with special emphasis on complications seen during and after surgery in the follow up of these patients. 75 patients operated for APR were studied retrospectively and 25 patients operated for the same were studied prospectively. It was concluded that although Abdomino-perineal resection remains the 'gold standard' for low lying (i.e. <5cm from anal verge) advanced carcinoma anorectum and has low mortality but it is associated with high morbidity, both immediate and delayed, with respect to abdominal and perineal wound complications, genitourinary complications, colostomy related complications and adhesive intestinal obstruction.

Keywords: Carcinoma Anorectum, Abdominoperineal Resection, Colon Cancer, Rectal Cancer, CEA.


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