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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1982-12-16
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pubmed:abstractText |
With increasing emphasis on sphincter preservation in the treatment of low carcinomas of the rectum, it is important to know whether such a policy results in satisfactory rectal function and long term survival. In 368 patients operated upon for carcinoma of the rectum between 1958 and 1980, a consistent policy of sphincter preservation was followed, and resulted in 222 (61 per cent) patients having a restorative resection (RR), whilst 132 (37 per cent) had an abdominoperineal excision (APE); 271 (76 per cent) had a radical operation with a hope of cure. Overall operative mortality was 5 per cent (2.6 per cent in the radical group) and the leakage rate in the 222 restorative anastomoses was 5 per cent. Follow-up of 98 per cent of patients treated over 5 years ago has been possible. Special attention has been paid to the late results in patients having a restorative resection of tumours at and below 8 cm: all these patients are continent and there is no excess of late pelvic recurrent. Corrected 5-year survival rates are 72 per cent for abdominoperineal excision and 84 per cent for restorative resection.
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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 |
Oct
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pubmed:issn |
0007-1323
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
564-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:6181841-Adenocarcinoma,
pubmed-meshheading:6181841-Adult,
pubmed-meshheading:6181841-Aged,
pubmed-meshheading:6181841-Female,
pubmed-meshheading:6181841-Humans,
pubmed-meshheading:6181841-Male,
pubmed-meshheading:6181841-Methods,
pubmed-meshheading:6181841-Middle Aged,
pubmed-meshheading:6181841-Neoplasm Recurrence, Local,
pubmed-meshheading:6181841-Palliative Care,
pubmed-meshheading:6181841-Rectal Neoplasms,
pubmed-meshheading:6181841-Time Factors
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pubmed:year |
1982
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pubmed:articleTitle |
Long term results of a consistent policy of sphincter preservation in the treatment of carcinoma of the rectum.
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pubmed:publicationType |
Journal Article
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