Abstract：
BACKGROUND:The present paper examines the local recurrence rate following surgical treatment for carcinoma of the lower rectum with principally blunt dissection directed at tumour-specific mesorectal excision (including total mesorectal excision when appropriate). METHODS:During the period April 1987-December 1999, 123 consecutive resections for carcinoma of the middle and distal thirds of the rectum were performed. The patients had low anterior resection, ultra low anterior resection or abdomino-perineal resection. Ninety-six eligible patients underwent curative resection. The mean follow-up period was 66.8 months +/-44.3 (range 3-176 months). Data were available on all patients having been prospectively registered and retrospectively collated and computer coded. RESULTS:The overall rate of local recurrence was 5.2% (four recurrences following ultra low anterior resection and one following abdomino-perineal resection. No local recurrence occurred after low anterior resections.). Local recurrences occurred between 16 and 52 months from the time of resection, and the cumulative risk of developing local recurrence at 5 years for all patients was 7.6%. The overall 5-year cancer specific survival of the 96 patients was 80.8%, and the overall probability of being disease free at 5 years, including both local and distal recurrence, was 71.8%. CONCLUSION:The results of the present series confirm the safety of careful blunt techniques combined with sharp dissection for rectal mobilization along fascial planes resulting in extraction of an oncologic package with tumour-specific mesorectal excision (or total mesorectal excision when appropriate).
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Polglase AL,Grodski SF,Tremayne AB,Chee JB,Bhathal PSdoi
10.1111/j.1445-1433.2004.03136.xkeywords:
subject
Has Abstractpub_date
2004-09-01 00:00:00pages
745-50issue
9eissn
1445-1433issn
1445-2197pii
ANS3136journal_volume
74pub_type
杂志文章abstract：:Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mi...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to evaluate the correlation between serum albumin level change (ΔALB) and post-operative complications in patients with normal preoperative serum albumin after gastrectomy of gastric cancer. METHODS:A total of 193 patients undergoing curative (R0) gastrectomy from September 201...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:For patients presenting with symptomatic internal carotid artery stenosis, carotid endarterectomy (CEA) surgery is recommended to be performed generally within a 48-hr to 14-day window. This study aimed to assess timeliness of delivery, and outcomes, of CEA surgery in a tertiary vascular centre. METHOD:Pati...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2020-03-01 00:00:00
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journal_title：ANZ journal of surgery
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abstract：BACKGROUND:The interventional management of necrotizing pancreatitis has evolved from early open surgery to delayed endoscopic or percutaneous intervention. However, few studies have directly compared the three treatment modalities. We aim to compare the outcomes of patients who had endoscopic, percutaneous or surgical...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Peripheral hospitals are perceived to be at a disadvantage in providing treatment for breast cancer, especially with regard to breast conservative surgery (BCS) because of the requirement of adjuvant radiotherapy. Wairau Hospital is a 100-bed peripheral hospital in New Zealand with no on-site radiotherapy un...
journal_title：ANZ journal of surgery
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abstract：:Macrophages, derived from circulating monocytes, are located within virtually all adult tissues. There, these specialized cells adopt tissue-specific functions that are important for normal tissue homeostasis and response to physiological challenges. Increasing evidence suggests that macrophages play a role in the nor...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04531.x
更新日期：2008-06-01 00:00:00
abstract：:In this article, a simplified technique for laparoscopic appendectomy is described in which the base of the appendix is firstly divided, and then ligated with an endoloop. An endoloop is then passed over the appendix onto the mesoappendix and tightened to secure the blood supply. The appendix can then be freed and rem...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2002.02370.x
更新日期：2002-04-01 00:00:00
abstract：BACKGROUND:Removal of part or all of the parotid gland may leave a visible contour defect and may also be associated with complications such as Frey's syndrome. These aesthetic and functional issues can be addressed using dermofat graft reconstruction. The aim of this study is to assess patient satisfaction and complic...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:The aim of this study was to develop a points-based approach to prioritize patients for elective transurethral resection of the prostate and to determine the relative contributions that clinical and psychosocial characteristics should make to a measurement of urgency for surgery. Another objective was to mea...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:Parkland formula (PF) is the most often used schema for calculating intravenous resuscitation fluid requirement in burn patients. Some studies have reported that PF underestimates the fluid requirement in 45-63% of patients. The aim of this retrospective study was to analyse factors influencing first-day int...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2007-09-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2001.02208.x
更新日期：2001-10-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
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更新日期：2016-07-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：
更新日期：2001-06-01 00:00:00
abstract：BACKGROUND:There is anecdotal evidence that fewer brachial and femoral embolectomies are being carried out. This may be because of the greater use of anticoagulation in patients with atrial fibrillation. The aim of the present study was to assess community-wide temporal trends in embolectomy of the extremities and of w...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04572.x
更新日期：2008-07-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16181
更新日期：2020-08-11 00:00:00
abstract：BACKGROUND: The purpose of credentialing is to ensure that clinicians provide safe, high-quality health-care services in accordance with good practice and legal requirements. This review assessed the institutional credentialing processes and governance structures required to support credentialing processes at an insti...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2012.06115.x
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:Groin hernia repairs (GHRs) are among the commonest general surgical procedures in the Western population. The introduction of minimally invasive surgery has prompted the development of laparoscopic totally extraperitoneal and trans-abdominal preperitoneal hernia repairs. We aimed to determine the hernia tre...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13899
更新日期：2018-04-01 00:00:00
abstract：INTRODUCTION:Ludwig's angina (LA) is an uncommon and potentially life-threatening condition of the upper aero-digestive tract that often requires the coordinated efforts of the surgical, anesthetic and intensive care teams to optimize management. The purpose of the present study was to investigate the documented clinic...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05496.x
更新日期：2011-03-01 00:00:00
abstract：:The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anch...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03951.x
更新日期：2006-12-01 00:00:00
abstract：BACKGROUND:The purpose of the present study was to comprehensively assess the results of surgical management of pelvi-ureteric junction (PUJ) obstruction using lumbotomy as the surgical approach. METHODS:Records of 36 consecutive patients with unilateral PUJ obstruction who underwent pyeloplasty in the last 5 years we...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03032.x
更新日期：2004-06-01 00:00:00
abstract：BACKGROUND:Worldwide, the evolution of management of liver injury has resulted in improved outcomes. The aim of this study was to examine the trend in the management and outcomes of patients with liver injury. Primary outcomes were defined as mortality and hospital length of stay. The secondary aim was to identify inde...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13248
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Atrial fibrillation (AF) after coronary artery bypass graft surgery constitutes the most common sustained arrhythmia and results in many complications. The purpose of this study was to assess the effects of prophylactic use of beta-blockers against atrial fibrillation in off-pump surgery patients in the earl...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1111/j.1445-2197.2007.04088.x
更新日期：2007-06-01 00:00:00
abstract：:There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...
journal_title：ANZ journal of surgery
pub_type： 历史文章,杂志文章,评审
doi：10.1111/ans.13369
更新日期：2016-01-01 00:00:00
abstract：INTRODUCTION:The clinical outcomes from suspected appendicitis depend on balancing the rate of negative appendicectomy (NA) with perforated appendicitis (PA). An Acute Surgical Model (ASM) was introduced at Geelong Hospital (GH) in 2011 involving a dedicated emergency general surgery theatre list every business day giv...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1111/ans.12211
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:The Royal Australasian College of Surgeons recommends minimum operative and endoscopy training requirements for advanced trainees in general surgery. This study examines the influences of trainee seniority, geographical location of surgical rotation, and surgeons' remuneration arrangements on the operative a...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.t01-1-.x
更新日期：2003-12-01 00:00:00
abstract：EARLY LIFE:George Hogarth Pringle, later an associate of Joseph Lister, was born in Kintail, Scotland in 1830. In 1854, he worked as a dresser at the Royal Infirmary, Edinburgh with Joseph Lister. After serving in the Crimean War, he settled in New South Wales and began practice in Parramatta. PRINGLE AND ANTISEPTIC S...
journal_title：ANZ journal of surgery
pub_type： 传,历史文章,杂志文章
doi：10.1111/ans.15569
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Neoadjuvant therapy, radical lymphadenectomy and treatment in high-volume centres have been proposed to improve outcomes for resectable oesophageal tumours. The aim of the present study was to review the oesophagectomy experience of a single surgeon with a moderate caseload who uses neoadjuvant therapy selec...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2009.04855.x
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:Risk factors for bile leakage after hemihepatectomy are unknown. METHODS:A prospectively maintained database review identified patients undergoing hemihepatectomy between 1 January 2009 and 30 September 2014. Patients were divided into B/C and non-B/C bile leakage groups. Risk factors for bile leakage were ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13073
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to determine the anastomotic leak rate for colorectal cancer resections in patients with metastases (compared to those without), and to determine the impact of anastomotic leaks on survival. METHODS:This is a retrospective analysis of all patients who underwent resection and pr...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14494
更新日期：2018-09-01 00:00:00
