(UL)
-
Usporedba rezultata niske prednje resekcije i abdominoperinealne ekscizije u bolesnika s karcinomom donje trećine rektumaŠtor, ZdravkoBackground. Low anterior resection (LAR) is performed with increasing frequency for patients with carcinoma of the lower third of the rectum. Our study compares the LAR and abdominoperineal excision ... (APE) results in patientswith carcinoma of the lower third of the rectum. Patients and methods.In the period from 1.1.1989 to 31.12.1995 116 patients with carcinoma of tlže lower third of the rectum underwent potentially curative resection. Five-years survival was estimated with Kaplan-Meier statistical analysis. Patients who died within 30 days after operations were censored. Differences in survival curves between both groups were assessed by the log rank test. Results. We performed LAR in 44 of 116 (37,9%) patients and APE in 53 of 116 (45,7%). In the lower third of the rectum in 52 out of 116 (44,8%) patients wepreserved the sphincter (LAR, local excision). The patients were divided according to the type of operation by the Dukes classification: LAR (A11/44 25%; B16/44 36,4%; C17/44 38,6%), APE (Al2/53 22,6%; B17/53 32,1%; 624/53 45,3%). Five-year survival rate for patients with Dukes B and C tumors in the lower third of the rectum is 25% for LAR and 53% for APE. There was no statisticaly significant difference of survival curves between the two operations (pž,20458, Log rank). We analyzed our results with regard to positive lymphatic glands: LAR (N1 15,9%; N2 25%; N3 11,4%); APE (Nl 18,9%; N222,6%; N3 0%). Lymphatic spread was found in 23 of 44 (52,3%) of the patients with LAR and in 22 of 53 41,5% of the patients with APE. Anastomotic leakage became clinically manifest in 8 out of 44 patients (18,2%). All the patients required relaparatomy and were treated with temporary loop colostomy.Conclusion. We performed LAR (52,3%) in a higher percentage of patients with lymphatic dissemination than APE (41,5%). Thus the difference infiveyear survival rate is not surprising: LAR (25%), APE (53%).Type of material - master's thesisPublication and manufacture - Zagreb : [Z.Štor], 1999Language - croatianCOBISS.SI-ID - 12967129
Author
Štor, Zdravko
Other authors
Repše, Stanislav
Topics
Rectal neoplasms |
Surgery |
Pathology |
Neoplasm staging |
Colectomy |
Methods |
Perineum |
Survival analysis |
Prognosis |
Radiotherapy, adjuvant |
Antineoplastic agents |
Age factors
Library | Call number – location, accession no. ... | Copy status |
---|---|---|
MF, Central Medical Library, Lj. | magistrske naloge ŠTOR Zdravko Usporedba IN: 020040352 |
available - outside loan, loan period: 1 months |
Shelf entry
Permalink
- URL:
Impact factor
Access to the JCR database is permitted only to users from Slovenia. Your current IP address is not on the list of IP addresses with access permission, and authentication with the relevant AAI accout is required.
Year | Impact factor | Edition | Category | Classification | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Select the library membership card:
If the library membership card is not in the list,
add a new one.
DRS, in which the journal is indexed
Database name | Field | Year |
---|
Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
---|---|
Štor, Zdravko | 19205 |
Repše, Stanislav | 01528 |
Source: Personal bibliographies
and: SICRIS
Select pickup location:
Material pickup by post
Delivery address:
Address is missing from the member's data.
The address retrieval service is currently unavailable, please try again.
By clicking the "OK" button, you will confirm the pickup location selected above and complete the reservation process.
By clicking the "OK" button, you will confirm the above pickup location and delivery address, and complete the reservation process.
By clicking the "OK" button, you will confirm the address selected above and complete the reservation process.
Notification
Automatic login and reservation service currently not available. You can reserve the material on the Biblos portal or try again here later.
Subject headings in COBISS General List of Subject Headings
Select pickup location
The material from the parent unit is free. If the material is delivered to the pickup location from another unit, the library may charge you for this service.
Pickup location | Material status | Reservation |
---|
Reservation in progress
Please wait a moment.
Reservation was successful.
Reservation failed.
Reservation...
Membership card:
Pickup location: