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  1. Audit of colorectal cancer surgery by non-specialist surgeons.

    Article - En anglais

    Background Some authorities recommend that colorectal cancer should be treated in specialist units but evidence that non-specialist units demonstrate comparatively poor results may be lacking.

    Methods Between 1987 and 1991,267 patients were operated on by four general surgeons, none of whom was a specialist in colorectal surgery.

    Procedure-related complications, postoperative mortality and disease-related survival rates were analysed.

    Results There were four cases of intraperitoneal sepsis (1 per cent) and five of 189 patients (3 per cent) had clinical anastomotic dehiscence ; there was no case of wound dehiscence.

    The postoperative mortality rate after elective and emergency surgery was 2 and 13 per cent respectively.

    The 5-year disease-related survival rate for curative and palliative surgery was 67 and 9 per cent respectively.

    There were no significant differences between the surgeons.

    Conclusion Disease-related variables such as early-stage disease and fewer patients presenting as emergencies may have a greater favourable influence on ultimate survival than surgeon-related variables.

    Mots-clés Pascal : Carcinome, Côlon, Rectum, Résection chirurgicale, Relation incertitude, Pronostic, Complication, Expérience professionnelle, Chirurgien, Audit, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Chirurgie

    Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Surgical resection, Uncertainty relation, Prognosis, Complication, Professional experience, Surgeon, Audit, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0229743

    Code Inist : 002B25G02. Création : 11/06/1997.