کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6250622 1611488 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Southwestern Surgical CongressRoutine endoscopic surveillance for local recurrence of rectal cancer is futile
ترجمه فارسی عنوان
کنگره جراحی جنوب غربی نظرسنجی آندوسکوپی برای عود مجدد سرطان رکتوم ضروری است
کلمات کلیدی
نظارت مستطیلی، پروکتوسکوپی، سرطان رکتوم سرطان رکتوم عود مجدد آندوسکوپی راست روده،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundNational Comprehensive Cancer Network guidelines for rectal adenocarcinoma regarding routine surveillance with proctoscopy for local recurrence have been evolving. The purpose of this study was to examine the utility of rectal surveillance.MethodsThis is a single-center, retrospective review of patients (2004 to 2011) who underwent total mesorectal excision for rectal cancer. The primary end point was cancer recurrence, with detection method(s) noted. The number of surveillance procedures was collected.ResultsThe study included 112 patients. There were no local recurrences identified by rectal surveillance. There were 1 local recurrence and 17 distant recurrences (16%). The local recurrence was identified by carcinoembryonic antigen and symptoms. There were 20 anoscopies, 44 proctoscopies, and 495 flexible sigmoidoscopies performed, with estimated charges of $266,000.ConclusionsRectal surveillance at this center was not beneficial. This study supports the recent (2015) change in the National Comprehensive Cancer Network guidelines, which no longer recommend routine rectal surveillance and challenge other society guidelines.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 210, Issue 6, December 2015, Pages 996-1002
نویسندگان
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