Surgical specialist registrars can safely perform resections for carcinoma of the rectum
| Autor: | Ridzuan Farouk, Meg Birks, Matthew G. Tytherleigh, James Wheeler |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer education Rectum Resection Postoperative Complications Medical Staff Hospital Odds Ratio medicine Carcinoma Humans Rectal resection Stage (cooking) Aged Neoplasm Staging Aged 80 and over Rectal Neoplasms business.industry Incidence Cancer General Medicine Middle Aged Crude Survival medicine.disease Surgery Survival Rate Treatment Outcome medicine.anatomical_structure Female Clinical Competence Neoplasm Recurrence Local business Research Article |
| Zdroj: | Annals of the Royal College of Surgeons. 84:389-392 |
| ISSN: | 1478-7083 0035-8843 |
| Popis: | AIM: To assess morbidity, mortality and cancer-related outcomes after supervised rectal resection for cancer by surgical specialist registrars (SpRs). PATIENTS: A total of 205 consecutive patients (115 male; median age 64 years [range, 24-90 years]) under the care of six consultant surgeons, who underwent elective rectal resection of their rectal cancer between 1995-1999 were studied. The modified Dukes' stages were A in 28 patients (13%), B in 47 (21%), C in 103 (51%), and D in 30 (15%). RESULTS: Sixty-eight patients (35 males) of mean age 64 years (range, 38-82 years) underwent supervised resection (60 anterior resections. 8 abdomino-perineal resections) by a SpR. Of these, 7 (10%) were modified Dukes' stage A, 16 (22%) stage B, 37 (54%) stage C, and 8 (13%) stage D. Postoperative morbidity (SpRs 32% versus consultants 41%; P = 0.25) and mortality (SpRs 3% versus consultants 6%; P = 0.1) were comparable with consultant outcomes. Local recurrence rates (SpRs 9% versus consultants 9%; P = 0.5) and crude survival (SpRs 64% versus consultants 61%; P = 0.31) were also comparable after a median follow-up of 48 months (range, 24-72 months). CONCLUSION: Operative and cancer-related outcomes are not compromised by supervised SpR resections of rectal cancer in selected patients. |
| Databáze: | OpenAIRE |
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