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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
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 | ||||||
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| 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 |
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| Journal or Publication Title: | British Journal of Surgery | ||||||
| Publisher: | John Wiley & Sons Ltd. | ||||||
| ISSN: | 0007-1323 | ||||||
| Official Date: | November 1993 | ||||||
| Dates: |
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| 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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