Surgeon-Related Factors and Outcome in Rectal Cancer
Annals of SurgeryPublished 1 February 1998
Geoffrey A. Porter, Colin L. Soskolne, Walter W. Yakimets, Stephen C. Newman
Citations569
SJR quartileQ1
SJR score2.59
SNIP2.41
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TL;DR
Outcome is improved with both colorectal surgical subspecialty training and a higher frequency ofrectal cancer surgery, and the surgical treatment of rectal cancer patients should rely exclusively on surgeons with such training or surgeons with more experience.
Abstract
Outcome is improved with both colorectal surgical subspecialty training and a higher frequency of rectal cancer surgery. Therefore, the surgical treatment of rectal cancer patients should rely exclusively on surgeons with such training or surgeons with more experience.
Keywords
Medicine
Springer series in statisticsNonparametric Estimation from Incomplete Observations
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1988 patients with an adenocarcinoma of the rectum or rectosigmoid have been studied and a curative resection had been performed in 504 of those undergoing an AP, and 393 of those undergoing an anterior resection.
PubMedPrognostic factors of rectum carcinoma--experience of the German Multicentre Study SGCRC. German Study Group Colo-Rectal Carcinoma.
258 Citations1995P. Hermanek, H Wiebelt +2 more
The data of a prospective multicentre observation study were analyzed by uni- and multivariate methods for the endpoints locoregional recurrence and observed overall survival and there exists a highly significant correlation.
Journal of Clinical PathologyHistopathology reporting in large bowel cancer.
256 Citations1981W. K. Blenkinsopp, Sarah Stewart‐Brown +3 more
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CancerFinal results of a randomized trial on the treatment of rectal cancer with preoperative radiotherapy alone or in combination with 5-fluorouracil, followed by radical surgery trial of the european organization on research and treatment of cancer gastrointestinal tract cancer cooperative group
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BMJPelvic Recurrence after Excision of Rectum for Carcinoma
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These include those operations of the excision type in which the surgeon was of the opinion that growth had been left behind, mostly because of incomplete local excision or because of the presence of hepatic metastases.
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British journal of surgeryPerioperative blood transfusion and outcome after resection for colorectal carcinoma
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British journal of surgeryEffect of surgical experience on the results of resection for oesophageal carcinoma
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It is suggested that oesophageal resection for carcinoma should be performed only where there is an acceptably low operative mortality rate.
British journal of surgerySurvival and recurrence after sphincter saving resection and abdominoperineal resection for carcinoma of the middle third of the rectum
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It is suggested that patients with carcinoma of the middle third of the rectum who are treated by SSR will fare as well as patients who are treating by APER, with respect both to recurrence and to survival.
British journal of surgeryCarcinoma of the rectum: A 10-year experience
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British journal of surgeryLocal recurrence of rectal adenocarcinoma after ‘curative’ surgery with and without preoperative radiotherapy
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The American Journal of SurgeryAnterior resection versus abdominoperineal resection for cancer of the rectum and rectosigmoid
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Diseases of the Colon & RectumLocal tumor recurrence after curative resection for rectal cancer
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British Journal of CancerDoes it matter where you live? Treatment variation for breast cancer in Yorkshire
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International Journal of Radiation Oncology*Biology*PhysicsHigh dose preoperative radiation and sphincter preservation in the treatment of rectal cancer
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