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Resection‐line involvement in gastric cancer : a continuing problem

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Hallissey, M. T., Jewkes, A. J., Dunn, Janet A., Ward, L. and Fielding, J. W. L. (1993) Resection‐line involvement in gastric cancer : a continuing problem. British Journal of Surgery, 80 (11). pp. 1418-1420. doi:10.1002/bjs.1800801121

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Official URL: https://doi.org/10.1002/bjs.1800801121

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Abstract

Surgeons are aware of the adverse effect that resection‐line disease has on anastomotic leakage, perioperative mortality and long‐term survival. In an attempt to assess the effect of this knowledge on surgical practice, patients entered into the second British Stomach Cancer Group adjuvant therapy trial were studied. The presence of resection‐line disease was compared with the operative stage. Of 555 patients for whom complete data were available, resection‐line disease was present in 105 (19 per cent). Of 424 patients undergoing what the surgeon considered to be a potentially curative operation, 55 (13 per cent) had involvement of one or both resection lines, rendering the surgery palliative. Only 9 per cent of patients with stage I–III disease and resection‐line involvement survived beyond 5 years, compared with 27 per cent of those with clear lines. Despite knowledge of the adverse effects of resection‐line disease, surgeons continue to perform inadequate resections. This demonstrates the need for a more aggressive approach to assessment of resection margins at operation.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: British Journal of Surgery
Publisher: John Wiley & Sons Ltd.
ISSN: 0007-1323
Official Date: November 1993
Dates:
DateEvent
November 1993Published
12 February 1993Accepted
Volume: 80
Number: 11
Page Range: pp. 1418-1420
DOI: 10.1002/bjs.1800801121
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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