Influence of hospital volume on the frequency of abdominoperineal resections and long-term oncological outcomes in low rectal cancer
作者： H PTOK , F MARUSCH , R KUHN , I GASTINGER , H LIPPERT
DOI: 10.1016/J.EJSO.2006.12.020
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摘要: Abstract Aim Studies analysing the outcome after resection of low rectal cancer that has not infiltrated anal sphincter reveal poorer long-term outcomes abdominoperineal resections (APR) in comparison with anterior (LAR). Further, a relationship between frequency APR and LAR for hospital volume is known. Our aim was to investigate independent impact type on oncological cancer. Method In prospective multi-centre observational study 1557 patients undergoing or APR, were analysed their dependence procedure. Results Univariate analysis revealed had higher local recurrence rate ( p = 0.022) shorter disease-free survival = 0.060). With regard survival, no be found = 0.201). The significantly associated Conclusion surgical treatment major outcome. procedure does affect but disease free survival.
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