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| 1 | Value of multi-disciplinary input into laparoscopic management of rectal cancer-An observational study显示文摘AIM To assess the impact of multi-disciplinary teams(MDTs)management in optimising the outcome for rectal cancers.METHODS We undertook a retrospective review of a prospectively maintained database of patients with rectal cancers(defined as tumours≤15 cm from anal verge)discussed at our MDT between Jan 2008 and Jan 2011.The data was validated against the national database to ensure completeness of dataset.The clinical course and follow-up data was validated using the institution’s electronic patient records.The data was analysed in terms of frequencies and percentages.Significance of any differences were analysed usingχ2 test.A Kaplan-Meier analysis was performed for overall survival and disease free survival.RESULTS Following appropriate staging,one hundred and thirtythree patients were suitable for potentially curative resections.Seventy two(54%)were upper rectal cancer(URC)-tumour was>6 cm from the anal verge and 61(46%)were lower rectal cancers(LRC)-lower extent of the tumour was palpable≤6 cm.Circumferential resection margin(CRM)appeared threatened on preoperative MRI in 19/61(31%)patients with LRC requiring neo-adjuvant therapy(NAT).Of the 133 resections,118(89%)were attempted laparoscopically(5%conversion rate).CRM was positive in 9(6.7%)patients;Median lymph node harvest was 12(2-37).Major complications occurred in 8(6%)patients.Median follow-up was 53 mo(0-82).The 90-d mortality was 2(1.5%).Over the followup period,disease related mortality was 11(8.2%)and overall mortality was 39(29.3%).Four(3%)patients had local recurrence and 22(16.5%)patients had distant metastases.CONCLUSION Management of rectal cancers can be optimized with multidisciplinary input to attain acceptable long-term oncological outcomes even when incorporating a laparoscopic approach to rectal cancer resection. | Pawan Kumar Dhruva Rao Sooriyaratchige Pradeep Manjula Peiris Seema Safia Arif Rhodri A Davies Ashraf Gergies Masoud Puthucode Narayanan Haray | 2017 | World Journal of Gastrointestinal Surgery2017，9，6： | 2 |
| 2 | Intubation conditions after atracurium and suxamethonium显示文摘 | Gergis SD Sokoll MD Mehta M | 1983 | Br J Anaesth1983，55，1： | 1 |
| 3 | Taper preparation variability compared to current taper standards using computed tomography显示文摘 | Gergi R Abou Rjeily J Osta N | 2012 | Int J Dent2012，20，12： | 1 |
| 4 | Comparison of canal transportation and centering ability of Twisted Files,Pathfile -ProTaper system,and stainless steel hand K-Files by u- sing computed tomography 显示文摘 | Gergi R Rjeily JA Sader J ct al | 2010 | J Endod2010，36，5： | 1 |
| 5 | The anterior Cruciate Ligament:A functional analysis based on pastmorten studies显示文摘 | Marshall J L Gergis F G | 1976 | J Bone Joint Surg(Am)1976，58，： | 1 |
| 6 | Facilitation of rapid endotracheal intubations with divided doses of nondepolarizing neuromuscular blocking drugs 显示文摘 | MEHTA M P CHOI W W GERGIS S D | 1985 | Anesthesiology1985，62，4： | 1 |
| 7 | Effect of moisture and temperature on the mechanical properties of concrete显示文摘 | Samir N S Gergis W W Brian D | 2011 | Construction and Building Materials2011，25，2： | 1 |
| 8 | Cyclic fatigue analysis of twisted file rotary NiTi instruments used in reciprocating motion显示文摘 | Gambarini G Gergi R Naaman A | 2012 | Int Endod J2012，45，9： | 1 |
| 9 | Effectiveness of two nickel-titanium rotary instruments and a hand file for removing gutta-percha in severely curved root canals during retreatment: an ex vivo study 显示文摘 | Gergi R Sabbagh C | 2007 | Int Endod J2007，40，7： | 1 |
| 10 | Comparison of canal transpor- tation and centering ability of twisted files, Pathfile-ProTaper system, and stainless steel hand K-files by using computed to- mography 显示文摘 | Gergi R Rjeily JA Sader J | 2010 | J Endod2010，36，5： | 1 |
| 11 | Effectiveness of two nickel-titanium rotary instruments and a hand file for removing guttapercha in severely curved root canals during retreatment:An ex vivo study显示文摘 | Gergi R Sabbagh C | 2007 | Int Endod J2007，40，7： | 1 |
| 12 | Comparison of Canal Transportation and Centering Ability of Twisted Files, Path- file--ProTaper System, and Stainless Steel Hand K--Files by Using Computed Tomography 显示文摘 | Gergi R Rjeily JA Sader J | 2010 | J Endod2010，36，： | 1 |
| 13 | Facilitation of rapid seguence endotracheal intubations with divided doses of nondeeolarizing neuromuscular blocking drugs显示文摘 | Choi W Gergis SD | 1985 | Anesthesiology1985，62，： | 1 |
| 14 | Comparison of ca- nal transportation and centering ability of twisted files, Pathfile-ProTaper system, and stainless steel hand K- files by using computed tomography显示文摘 | Gergi R Rjeily JA Sader J et aI | 2010 | J Endod2010，36，5： | 1 |
| 15 | Comparison of canal transportation and centering ability of twisted files, Pathfile-ProTaper system, and stainless steel Hand K-Flies by using computed tomogra- phy显示文摘 | Gergi R Rjeily J A Sader J | 2010 | Journal of Endodontics2010，36，5： | 1 |
| 16 | Antibiotics and neuromuscular function显示文摘 | Gergis S D | 1981 | Anesthesiology1981，55，2： | 1 |
| 17 | Cyclic fatigue analysis of twisted file rotary NiTi instruments used in reciprocating motion 显示文摘 | Gambarini G Gergi R Naaman A | 2012 | Int Ended J2012，45，9： | 1 |
| 18 | Comparison of canal transportation and centering ability of twisted files,Path-file-ProTaper system,and stainless steel hand K-files by using computed tomography显示文摘 | Gergi R Rjeily JA Sader J | | 0，，05： | 1 |
| 19 | Effects of three nickel tita- nium instrument systems on root canal geometry assessed by mi- cro-computed tomography 显示文摘 | Gergi R Osta N Bourbouze G | 2015 | Int Endod J2015，48，2： | 1 |
| 20 | Effects of three nickel titanium instrument systems on root canal geometry assessed by micro-computed tomography 显示文摘 | Gergi R Osta N Bourbouze G | 2014 | Int Endod J2014，48，2： | 1 |
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