Abstract:
PURPOSE:Although the regional lymph node status is essential for staging of colorectal cancer, the importance of the total number of collected nodes remains controversial. Our aim was to examine the impact of the metastatic lymph node ratio (LNR) on the survival of patients with Dukes C colorectal cancer. METHODS:All patients with Dukes C histology were selected from a prospectively collected database of all colorectal cancers resected between 1997 and 2007 at our institution. Demographic, histopathological and adjuvant treatment data were collected. The total number of positive lymph nodes was divided by the total number of lymph nodes examined to calculate the LNR. Patients were categorised into LNR groups 1 to 5 according to cut-off points: ≤0.1, 0.21, 0.36, 0.6 and ≥0.61. Survival from the date of operation was calculated using Kaplan-Meier estimates. Multivariate analysis was performed to identify those factors influencing survival. RESULTS:Of 1,098 patients who underwent colorectal cancer resections, 41% were staged as Dukes C. Sixty-four percent of patients received chemotherapy. The median number of lymph nodes harvested and positive for tumour were 11 (range 1-52) and 4 (range 1-28), respectively. In patients who received chemotherapy, 5-year survival was 69.3% for LNR 1 and 23.6% for LNR 5. When no chemotherapy was given, the 5-year survival was 43.1% for LNR 1 and 8.7% for LNR 5. CONCLUSIONS:Current evaluation of positive lymph nodes may not accurately stage Dukes C colorectal cancer. The assessment of the LNR is a useful prognostic method in this heterogenous group of patients.
journal_name
Int J Colorectal Disjournal_title
International journal of colorectal diseaseauthors
Thomas M,Biswas S,Mohamed F,Chandrakumaran K,Jha M,Wilson Rdoi
10.1007/s00384-011-1340-3subject
Has Abstractpub_date
2012-03-01 00:00:00pages
309-17issue
3eissn
0179-1958issn
1432-1262journal_volume
27pub_type
杂志文章abstract:PURPOSE:The aim of the present study was to determine selection criteria for patients with stage IV colorectal cancer (CRC) who were likely to show survival benefits of metastasectomy. METHODS:Clinicopathological data of 119 patients with stage IV CRC who underwent primary CRC resection were retrospectively reviewed. ...
journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/s00384-012-1454-2
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND AND AIMS:Rectovaginal fistulas in patients with Crohn's disease are difficult to resolve, and surgical failure is very frequent. Recent studies have shown that adult stem cells extracted from certain tissues, such as adipose tissue, can develop into different tissues, such as muscle. PATIENT AND METHODS:We ...
journal_title:International journal of colorectal disease
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更新日期:2003-09-01 00:00:00
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/s00384-013-1670-4
更新日期:2013-08-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 临床试验,杂志文章
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更新日期:2011-06-01 00:00:00
abstract:PURPOSE:Use of biosutures in animal models of colonic anastomoses is associated with decreased adhesions without affecting anastomotic strength. This study aimed to evaluate the effect of biosutures on colonic anastomoses kept free of adhesions by peritoneal instillation of icodextrin 4%. METHODS:Three types of coloni...
journal_title:International journal of colorectal disease
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更新日期:2010-12-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:1995-01-01 00:00:00
abstract:INTRODUCTION:Conventional haemorrhoidectomy (CH) is well known to cause significant post-operative pain and delayed return to daily activities. Both surgical wounds and sphincterial apparatus spasms are likely responsible for the pain. In this study, we evaluated the role of glyceryl trinitrate ointment (GTN) in reduci...
journal_title:International journal of colorectal disease
pub_type: 杂志文章,随机对照试验
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更新日期:2013-03-01 00:00:00
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更新日期:2011-07-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章,随机对照试验
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更新日期:2018-11-01 00:00:00
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journal_title:International journal of colorectal disease
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更新日期:2010-04-01 00:00:00
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journal_title:International journal of colorectal disease
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更新日期:2009-09-01 00:00:00
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更新日期:2010-02-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:1991-02-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/s003840050170
更新日期:1998-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,评审
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:2003-05-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:1996-01-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:2012-05-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:2013-06-01 00:00:00
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更新日期:2019-05-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:1996-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-05-01 00:00:00
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journal_title:International journal of colorectal disease
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更新日期:2015-09-01 00:00:00
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更新日期:2006-01-01 00:00:00