Document Detail

Extended lymphadenectomy for rectal cancer: cure vs quality of life.
MedLine Citation:
PMID:  8063549     Owner:  NLM     Status:  MEDLINE    
Because of continued problems with local recurrence after surgery for rectal cancer, extended resection of lymph node-bearing tissue has been proposed, both to increase survival and to decrease local recurrence. Such extended resection has often been associated with increased long-term morbidity, particularly as regards urinary and sexual function. A comparative analysis of currently available data with such extended resections is presented, considering both survival and morbidity data, and contrasting these data with results obtained with conventional resection. While it is not yet clear whether extended resections do in fact increase survival, results are promising in several specific situations, and work in progress has been successful in diminishing long-term morbidity for many patients.
R P Billingham
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  International surgery     Volume:  79     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1994 Jan-Mar
Date Detail:
Created Date:  1994-09-19     Completed Date:  1994-09-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  11-22     Citation Subset:  IM    
University of Washington, Seattle.
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MeSH Terms
Lymph Node Excision*
Neoplasm Recurrence, Local
Postoperative Complications
Quality of Life*
Rectal Neoplasms / mortality,  surgery*
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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