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Abdominoperineal Resection - Springer Nature

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Last Updated: 11 November 2022

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Abdominoperineal Resection in the United Kingdom: a Case against Centralisation

The rectum's excision of the rectum leads to poorer oncologic results compared to anterior resection due to increased incidences of involved circumferential resection margins, intra-operative perforations, and local recurrence. Centralization of rectal cancer therapy in the United Kingdom has been suggested to improve APER results, but it could unnecessarily raise the travel burden for patients and de-skilling district general hospital surgeons who may have the appropriate experience. The findings of a single-centre UK district general hospital over a nine-year period are detailed in this report. Pre-operative staging and neoadjuvant therapy, histology, recurrence, and survival of all patients under APER for rectal cancer in a single UK district general hospital were all evaluated, including pre-operative staging and neoadjuvant therapy, lung cancer, recurrence, and survival. This report compares APER's results to larger UK-based single-centre studies, indicating that there is still a role for APER in selected non-tertiary centers by surgeons with the appropriate skillset.

Source link: https://doi.org/10.1007/s12262-022-03614-x

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions