Abdominoperineal resection and perineal wound healing in recurrent, persistent, or primary anal carcinoma

• Verfasst von: Hardt, Julia [VerfasserIn]
• Verfasst von: Mai, Sabine [VerfasserIn]
• Verfasst von: Weiß, Christel [VerfasserIn]
• Verfasst von: Kienle, Peter [VerfasserIn]
• Verfasst von: Magdeburg, Richard [VerfasserIn]
• Titel: Abdominoperineal resection and perineal wound healing in recurrent, persistent, or primary anal carcinoma
• Verf.angabe: J. Hardt, S. Mai, C. Weiß, Peter Kienle, J. Magdeburg
• E-Jahr: 2016
• Jahr: 31 March 2016
• Umfang: 7 S.
• Fussnoten: Gesehen am 17.06.2019
• Titel Quelle: Enthalten in: International journal of colorectal disease
• Ort Quelle: Berlin : Springer, 1986
• Jahr Quelle: 2016
• Band/Heft Quelle: 31(2016), 6, Seite 1197-1203
• ISSN Quelle: 1432-1262
• DOI: doi:10.1007/s00384-016-2575-9
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Anal carcinoma
• Sach-SW: Perineal reconstruction
• Sach-SW: Salvage surgery
• Sach-SW: Vertical rectus abdominis myocutaneous flap
• K10plus-PPN: 1667544993

Abstract

Purpose: Chemoradiotherapy is the standard treatment for squamous cell anal cancer. Salvage abdominoperineal resection (APR) is usually reserved for patients presenting with recurrent or persistent disease. Aim of our study was to review the outcomes of salvage surgery and perineal wound healing with or without a vertical rectus abdominis myocutaneous (VRAM) flap in a single institution over a 6-year period. Methods: Data of all patients with biopsy-proven squamous cell anal cancer treated with chemoradiation at the University Medical Center Mannheim were recorded prospectively. Medical records of all patients who underwent salvage surgery for anal carcinoma between June 2008 and June 2014 were reviewed with regard to surgical and oncological outcomes. Results: One hundred twenty-four patients received chemoradiation with a 5-year overall survival of 79 %. Seventeen patients required (salvage) APR for recurrent (n = 8), persistent (n = 7), or primary anal carcinoma (n = 2). Median overall survival was 33.4 months. Median duration until completion of perineal wound healing was shorter in the VRAM group (17 vs. 24.5 weeks; p = 0.0541). Conclusions: Salvage APR has a reasonable chance of long-time survival. Perineal reconstruction with a VRAM flap may reduce the duration until completion of perineal wound healing.