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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1990-3-8
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pubmed:abstractText |
The purpose of this study was to explore the feasibility of sphincter preservation in abdominoperineal resection candidates by combining high-dose preoperative radiation therapy with restorative proctectomy through an endoanal anastomosis. Radiation to the pelvis was given using a three- or four-field technique to 4680 cGy (180 cGy/d) with portals from the top of S1 to 2 cm below the anus. The tumor bed received an additional 360-cGy boost. Four to 6 weeks after radiation therapy was completed, the patients underwent radical surgery. Phase I results for 14 patients are presented. All surgical specimens had negative distal and lateral margins. Surgical complications included one small-bowel obstruction requiring reoperation at 3 weeks, one pulmonary embolism, and one partial disruption (30% of the circumference) of the anastomosis. Bowel control and function were excellent in 8 and good in 4 patients. Function was not yet assessable in the remaining 2 patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0004-0010
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
125
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
247-51
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:2302064-Adenocarcinoma,
pubmed-meshheading:2302064-Adult,
pubmed-meshheading:2302064-Aged,
pubmed-meshheading:2302064-Anal Canal,
pubmed-meshheading:2302064-Anastomosis, Surgical,
pubmed-meshheading:2302064-Female,
pubmed-meshheading:2302064-Humans,
pubmed-meshheading:2302064-Male,
pubmed-meshheading:2302064-Middle Aged,
pubmed-meshheading:2302064-Neoplasm Invasiveness,
pubmed-meshheading:2302064-Postoperative Complications,
pubmed-meshheading:2302064-Preoperative Care,
pubmed-meshheading:2302064-Rectal Neoplasms,
pubmed-meshheading:2302064-Rectum
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pubmed:year |
1990
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pubmed:articleTitle |
A phase I trial of preoperative radiation, proctectomy, and endoanal reconstruction.
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pubmed:affiliation |
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
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pubmed:publicationType |
Journal Article
|