Abstract:
INTRODUCTION:The aim of this study was to determine whether tailoring the extent of resection would allow radical gastric cancer surgery to be performed safely in a UK population. PATIENTS AND METHODS:A total of 180 consecutive patients (median age 70 years; male:female ratio 2:1) undergoing resection for gastric adenocarcinoma with curative intent were studied. Extent of lymphadenectomy was based upon pre-operative and intra-operative staging, and balanced against the patient's age and fitness. RESULTS:In the study group, 83 patients underwent subtotal or distal partial gastrectomy and 97 patients underwent total or proximal partial gastrectomy. Operative procedures were: D1 lymphadenectomy (n = 62); modified (spleen and pancreas pre-serving) D2 lymphadenectomy (n = 73); D2 lymphadenectomy (n = 42); and extended resection (n = 3). TNM classification was: stage 1 (n = 45); stage 2 (n = 37); stage 3 (n = 61); and stage 4 (n = 37). Of the patients, 48 developed postoperative complications including 17 patients with a major surgical complication. The in-hospital mortality was 1.7% (3 of 180). Predicted mortality according to POSSUM and P-POSSUM was 21.4% and 7.8%, respectively. Disease-specific 5-year survival according to stage was 85.4%, 64.2%, 33.3%, and 6.9%. CONCLUSIONS:By tailoring the extent of resection and balancing risk and radicality, gastric cancer surgery can be performed with low mortality in Western patients.
journal_name
Ann R Coll Surg Engljournal_title
Annals of the Royal College of Surgeons of Englandauthors
Lamb P,Sivashanmugam T,White M,Irving M,Wayman J,Raimes Sdoi
10.1308/003588408X261546subject
Has Abstractpub_date
2008-04-01 00:00:00pages
235-42issue
3eissn
0035-8843issn
1478-7083journal_volume
90pub_type
杂志文章abstract:INTRODUCTION:The aim of this study was to assess the safety and the efficacy of hepatic resective surgery in the treatment of single lobe hepatolithiasis. PATIENTS AND METHODS:Retrospective analysis and comparison between hepatic resections in patients with hepatolithiasis (hepatolithiasis group [HG]) and liver masses...
journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
doi:10.1308/003588406X98711
更新日期:2006-07-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
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更新日期:1980-07-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
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更新日期:2008-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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更新日期:2013-10-01 00:00:00
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更新日期:2012-04-01 00:00:00
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更新日期:2013-11-01 00:00:00
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更新日期:2001-05-01 00:00:00
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更新日期:2009-09-01 00:00:00
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更新日期:2007-04-01 00:00:00
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doi:10.1308/003588413X13629960047830
更新日期:2013-10-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-03-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
doi:
更新日期:1980-09-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
doi:10.1308/003588414X13946184902523
更新日期:2014-09-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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更新日期:2008-03-01 00:00:00
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doi:10.1308/003588412x13171221499027
更新日期:2012-01-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
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更新日期:1987-07-01 00:00:00
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更新日期:2018-04-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
doi:10.1308/rcsann.2018.0217
更新日期:2019-04-01 00:00:00
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更新日期:2007-05-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章,评审
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更新日期:2004-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00
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journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章,评审
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更新日期:1997-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-07-01 00:00:00
abstract:INTRODUCTION:Faecal incontinence is a prevalent and important condition, with a range of treatment options. Neuromodulation via sacral nerve stimulators is efficacious, but expensive and associated with complications due to device implantation. Peripheral neuromodulation via posterior tibial nerve stimulation (PTNS) ha...
journal_title:Annals of the Royal College of Surgeons of England
pub_type: 杂志文章
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更新日期:2010-07-01 00:00:00