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Dis Colon Rectum. 1997 Jan;40(1):3-10.

Factors affecting survival after excision of the rectum for cancer: a multivariate analysis.

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1
Department of Colon and Rectal Surgery, University of Sydney at Concord Hospital, New South Wales, Australia.

Abstract

PURPOSE:

The aim of this study was to identify and categorize the independent prognostic effects of patient, clinical, operative, and pathology variables on long-term survival after anterior resection or abdominoperineal excision of the rectum for cancer.

METHODS:

Proportional hazards regression analysis was used to analyze prospective data from 709 patients who underwent surgery at Concord Hospital during a 23-year period. No patient received adjuvant therapy.

RESULTS AND CONCLUSIONS:

After adjusting for age and clinicopathologic stage, significantly poorer survival was experienced by males, patients with extensive tumor adherent to other organ(s), those with a high-grade tumor or a tumor showing venous invasion, those who had a postoperative cardiovascular or respiratory complication, and those who did not undergo surgery by a colorectal surgeon specialist. The nature of the operation performed had no independent effect on survival.

PMID:
9102257
[Indexed for MEDLINE]
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