Total pelvic exenteration with preoperative irradiation for advanced primary and recurrent rectal cancer.
作者： Johan N Wiig , Jan P Poulsen , Stein Larsen , Morten Brændengen , Håkon Wæhre
DOI: 10.1080/110241502317307562
关键词: Radiation therapy 、 Referral 、 Medicine 、 Surgery 、 Incidence (epidemiology) 、 Pelvic exenteration 、 Prospective cohort study 、 Rectum 、 Preoperative irradiation 、 Carcinoma
摘要: Objective: To study the complication rate, local recurrence and survival after total pelvic exenteration for primary advanced recurrent rectal cancer. Design: Prospective study. Setting: Tertiary referral university hospital, Norway. Subjects: 25 patients who were operated on 22 cancer since 1991; 42 men 5 women, mean age 64 years (range 44-78). All had preoperative irradiation of 46-50 Gy. Main outcome measures: Incidence major complications, actuarial 5-year rate. Results: Twenty R0 resection in group versus seven group. No R2 resections done compared with four Half cases ( n = 13) abdominoperineal resections. Hartmann's procedures common both groups 8 each). Postoperative mortality at 30 days was 4% 2) in-hospital 13% 6). 18 complications 12 were...
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