Type of Operation does not Affect Survival after Non-curative Resection for Adenocarcinoma of the Rectum at or below the Peritoneal Reflection: a Multivariate Analysis
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概要
- 論文の詳細を見る
Purpose. The purpose of this study was to determine whether the type of operation [sphincter-saving resection (SSR) or abdominoperineal resection (APR)] for primary adenocarcinoma of the rectum at or below the peritoneal reflection affects survival after non-curative surgery. Methods. This retrospective study included 42 patients who underwent non-curative surgery by the following two types of operation between 1989 and 1998: (1) SSR (n=19 patients) included low anterior resection with either double-stapling technique (n=16) or transanal coloanal anastomosis (n=3); (2) APR (n=23). 'Non-curative' resection implied 'Curability B' and 'Curability C' defined by the Japanese Classification of Colorectal Carcinoma. Outcome measure was diseasespecific survival. Univariate and multivariate Cox's regression analyses were used to evaluate data. Median follow-up was 17.2 months at study conclusion. Results. Disease-specific survival after non-curative surgery did not differ between the two types of operations. Multivariate analyses showed that the type of operation was not a significant independent variable in predicting disease-specific survival after surgery. One variable - 'Curability' - was significant predictor of outcome after surgery. Conclusions. The type of operation (SSR or APR) did not affect survival after non-curative resection for adenocarcinoma of the rectum at or below the peritoneal reflection.
- 長崎大学の論文
著者
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Tsuji T
長崎大学 医学部第二内科
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Nagayasu Takeshi
長崎大学 大学院腫瘍外科
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Tashiro Takayoshi
長崎大学 第二内科
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Yamaguchi H
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Yamaguchi Hiroyuki
長崎大学 医歯薬総研究腫瘍外科学
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Tanaka K
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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ISHIKAWA Hiroshi
Department of Radiology, Niigata University School of Medicine
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Tagawa Y
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Yasutake Toru
長崎大学 医歯薬学総合研究科腫瘍外科学
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Tamaru Naoe
Department Of Pathology Nagasaki University Hospital
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辻 孝
Hokkaido Univ. Sapporo Jpn
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Nagayasu Takeshi
Division Of Surgical Oncology Nagasaki University Graduate School
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Nakagoe Tohru
First Department Of Surgery Nagasaki University School Of Medicine
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Sawai T
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Sawai Terumitsu
First Department Of Surgery Nagasaki University School Of Medicine
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Tsuji Takashi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Shindo Hisakazu
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Ishikawa Hidemasa
The Department Of Internal Medicine Ii Fukushima Medical University School Of Medicine
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Nakashima Atsushi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Yano Hiroshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Tsuji Takashi
Department Of Material Chemistry Graduate School Of Engineering Kyoto University
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Ishikawa Hiroshi
Department Of Public Health Mie University School Of Medicine
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Shibasaki Shinichi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Nakamura Akihiro
Division Of Surgical Oncology Nagasaki University Graduate School Of Biomedical Sciences
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Nagayasu Takeshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Hidaka Shigekazu
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Taniguchi Yoshitaka
First Department Of Surgery Nagasaki University School Of Medicine
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Yamaguchi Hiroyuki
First Department Of Surgery Nagasaki University School Of Medicine
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Ishikawa Hiroshi
Department Of Surgery Sasebo Municipal Hospital
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Ishikawa Hiroshi
Department Of Anatomy Jikei University School Of Medicine
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Nagayasu Takeshi
Division Of Surgical Ontology Nagasaki University Graduate School Of Biomedical Sciences
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Tsuchiya Tomoshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Yano Hiroshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Ishikawa Hiroshi
Department Of Anatomy Jikai University School Of Medicine
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Nagayasu Takeshi
長崎大学 大学院医歯薬学総合研究科腫瘍外科第1外科
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