International trends in surgical treatment of rectal cancer
Identifieur interne : 006979 ( Main/Exploration ); précédent : 006978; suivant : 006980International trends in surgical treatment of rectal cancer
Auteurs : Knut M. Augestad [États-Unis, Norvège] ; Rolv-Ole Lindsetmo [États-Unis, Norvège] ; Harry Reynolds [États-Unis] ; Jonah Stulberg [États-Unis] ; Anthony Senagore [États-Unis] ; Brad Champagne [États-Unis] ; Alexander G. Heriot [Australie] ; Fabien Leblanc [France] ; Conor P. Delaney [États-Unis]Source :
- The American journal of surgery [ 0002-9610 ] ; 2011.
Descripteurs français
- Pascal (Inist)
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English descriptors
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Abstract
BACKGROUND: Surgical technique might influence rectal cancer survival, yet international practices for surgical treatment of rectal cancer are poorly described. METHODS: We performed a cross-sectional survey in a cohort of experienced colorectal surgeons representing 123 centers. RESULTS: Seventy-one percent responded, 70% are from departments performing more than 50 proctectomies annually. More than 50% defined the rectum as "15 cm from the verge." Seventy-two percent perform laparoscopic proctectomy, 80% use oral bowel preparation, 69% perform high ligation of the inferior mesenteric artery, 76% divert stomas as routine for colo-anal anastomosis, and 63% use enhanced recovery protocols. Different practices exist between US and non-US surgeons: 15 cm from the verge to define the rectum (34% vs 59%; P = .03), personally perform laparoscopic resection (82% vs 66%; P = .05), rectal stump washout (36% vs 73%; P = .0001), always drain after surgery (23% vs 42%; P = .03), transanal endoscopic microsurgery for T2N0 in medically unfit patients (39% vs 61%; P = .0001). CONCLUSIONS: Wide international variations in rectal cancer management make outcome comparisons challenging, and consensus development should be encouraged.
Affiliations:
- Australie, France, Norvège, États-Unis
- Aquitaine, Michigan, Nouvelle-Aquitaine, Victoria (État)
- Bordeaux, East Lansing, Melbourne
- Université d'État du Michigan
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Heriot</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Division of Surgical Oncology, Peter MacCallum Cancer Centre</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>7 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Leblanc, Fabien" sort="Leblanc, Fabien" uniqKey="Leblanc F" first="Fabien" last="Leblanc">Fabien Leblanc</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Department of Digestive Surgery, University Hospitals of Bordeaux</s1><s2>Bordeaux</s2><s3>FRA</s3><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Delaney, Conor P" sort="Delaney, Conor P" uniqKey="Delaney C" first="Conor P." last="Delaney">Conor P. 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Augestad</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Ave.</s1><s2>Cleveland, OH 44106-5047</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Cleveland, OH 44106-5047</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Digestive Surgery, University Hospital, North Norway</s1><s2>Tromsø</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Norvège</country><wicri:noRegion>Tromsø</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Telemedicine and Integrated Care, University Hospital, North Norway</s1><s2>Tromsø</s2><s3>NOR</s3><sZ>1 aut.</sZ></inist:fA14><country>Norvège</country><wicri:noRegion>Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Lindsetmo, Rolv Ole" sort="Lindsetmo, Rolv Ole" uniqKey="Lindsetmo R" first="Rolv-Ole" last="Lindsetmo">Rolv-Ole Lindsetmo</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Ave.</s1><s2>Cleveland, OH 44106-5047</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Cleveland, OH 44106-5047</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Digestive Surgery, University Hospital, North Norway</s1><s2>Tromsø</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Norvège</country><wicri:noRegion>Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Reynolds, Harry" sort="Reynolds, Harry" uniqKey="Reynolds H" first="Harry" last="Reynolds">Harry Reynolds</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Ave.</s1><s2>Cleveland, OH 44106-5047</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Cleveland, OH 44106-5047</wicri:noRegion></affiliation></author><author><name sortKey="Stulberg, Jonah" sort="Stulberg, Jonah" uniqKey="Stulberg J" first="Jonah" last="Stulberg">Jonah Stulberg</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Ave.</s1><s2>Cleveland, OH 44106-5047</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Cleveland, OH 44106-5047</wicri:noRegion></affiliation></author><author><name sortKey="Senagore, Anthony" sort="Senagore, Anthony" uniqKey="Senagore A" first="Anthony" last="Senagore">Anthony Senagore</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Surgery, Spectrum Health Care, Michigan State University</s1><s2>Grand Rapids, MI</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">East Lansing</settlement><region type="state">Michigan</region></placeName><orgName type="university">Université d'État du Michigan</orgName></affiliation></author><author><name sortKey="Champagne, Brad" sort="Champagne, Brad" uniqKey="Champagne B" first="Brad" last="Champagne">Brad Champagne</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Ave.</s1><s2>Cleveland, OH 44106-5047</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Cleveland, OH 44106-5047</wicri:noRegion></affiliation></author><author><name sortKey="Heriot, Alexander G" sort="Heriot, Alexander G" uniqKey="Heriot A" first="Alexander G." last="Heriot">Alexander G. Heriot</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Division of Surgical Oncology, Peter MacCallum Cancer Centre</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>7 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Leblanc, Fabien" sort="Leblanc, Fabien" uniqKey="Leblanc F" first="Fabien" last="Leblanc">Fabien Leblanc</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Department of Digestive Surgery, University Hospitals of Bordeaux</s1><s2>Bordeaux</s2><s3>FRA</s3><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Delaney, Conor P" sort="Delaney, Conor P" uniqKey="Delaney C" first="Conor P." last="Delaney">Conor P. Delaney</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Ave.</s1><s2>Cleveland, OH 44106-5047</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Cleveland, OH 44106-5047</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">The American journal of surgery</title><title level="j" type="abbreviated">Am. j. surg.</title><idno type="ISSN">0002-9610</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The American journal of surgery</title><title level="j" type="abbreviated">Am. j. surg.</title><idno type="ISSN">0002-9610</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomy</term><term>International</term><term>Medicine</term><term>Professional practice</term><term>Rectum</term><term>Rectum cancer</term><term>Surgery</term><term>Treatment</term><term>Trend</term><term>World</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie</term><term>International</term><term>Monde</term><term>Cancer du rectum</term><term>Tendance</term><term>Traitement</term><term>Rectum</term><term>Anatomie</term><term>Pratique professionnelle</term><term>Médecine</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Anatomie</term><term>Médecine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND: Surgical technique might influence rectal cancer survival, yet international practices for surgical treatment of rectal cancer are poorly described. METHODS: We performed a cross-sectional survey in a cohort of experienced colorectal surgeons representing 123 centers. RESULTS: Seventy-one percent responded, 70% are from departments performing more than 50 proctectomies annually. More than 50% defined the rectum as "15 cm from the verge." Seventy-two percent perform laparoscopic proctectomy, 80% use oral bowel preparation, 69% perform high ligation of the inferior mesenteric artery, 76% divert stomas as routine for colo-anal anastomosis, and 63% use enhanced recovery protocols. Different practices exist between US and non-US surgeons: 15 cm from the verge to define the rectum (34% vs 59%; P = .03), personally perform laparoscopic resection (82% vs 66%; P = .05), rectal stump washout (36% vs 73%; P = .0001), always drain after surgery (23% vs 42%; P = .03), transanal endoscopic microsurgery for T2N0 in medically unfit patients (39% vs 61%; P = .0001). CONCLUSIONS: Wide international variations in rectal cancer management make outcome comparisons challenging, and consensus development should be encouraged.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>Norvège</li><li>États-Unis</li></country><region><li>Aquitaine</li><li>Michigan</li><li>Nouvelle-Aquitaine</li><li>Victoria (État)</li></region><settlement><li>Bordeaux</li><li>East Lansing</li><li>Melbourne</li></settlement><orgName><li>Université d'État du Michigan</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Augestad, Knut M" sort="Augestad, Knut M" uniqKey="Augestad K" first="Knut M." last="Augestad">Knut M. Augestad</name></noRegion><name sortKey="Champagne, Brad" sort="Champagne, Brad" uniqKey="Champagne B" first="Brad" last="Champagne">Brad Champagne</name><name sortKey="Delaney, Conor P" sort="Delaney, Conor P" uniqKey="Delaney C" first="Conor P." last="Delaney">Conor P. Delaney</name><name sortKey="Lindsetmo, Rolv Ole" sort="Lindsetmo, Rolv Ole" uniqKey="Lindsetmo R" first="Rolv-Ole" last="Lindsetmo">Rolv-Ole Lindsetmo</name><name sortKey="Reynolds, Harry" sort="Reynolds, Harry" uniqKey="Reynolds H" first="Harry" last="Reynolds">Harry Reynolds</name><name sortKey="Senagore, Anthony" sort="Senagore, Anthony" uniqKey="Senagore A" first="Anthony" last="Senagore">Anthony Senagore</name><name sortKey="Stulberg, Jonah" sort="Stulberg, Jonah" uniqKey="Stulberg J" first="Jonah" last="Stulberg">Jonah Stulberg</name></country><country name="Norvège"><noRegion><name sortKey="Augestad, Knut M" sort="Augestad, Knut M" uniqKey="Augestad K" first="Knut M." last="Augestad">Knut M. Augestad</name></noRegion><name sortKey="Augestad, Knut M" sort="Augestad, Knut M" uniqKey="Augestad K" first="Knut M." last="Augestad">Knut M. Augestad</name><name sortKey="Lindsetmo, Rolv Ole" sort="Lindsetmo, Rolv Ole" uniqKey="Lindsetmo R" first="Rolv-Ole" last="Lindsetmo">Rolv-Ole Lindsetmo</name></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Heriot, Alexander G" sort="Heriot, Alexander G" uniqKey="Heriot A" first="Alexander G." last="Heriot">Alexander G. Heriot</name></region></country><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Leblanc, Fabien" sort="Leblanc, Fabien" uniqKey="Leblanc F" first="Fabien" last="Leblanc">Fabien Leblanc</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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