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Abstract:
AIM:Currently, there is no clear consensus on the role of extended pelvic resections for locally advanced or recurrent disease involving major vascular structures. The aims of this study were to report the outcomes of consecutive patients undergoing extended resections for pelvic malignancy involving the aortoiliac axis. METHODS:Prospective data on patients having extended radical resections for locally advanced or recurrent pelvic malignancies, with aortoiliac axis involvement, requiring en-bloc vascular resection and reconstruction, at a single institution between 2014 and 2018 were collected. RESULTS:Eleven patients were included (median age 60 years: range 31-69 years; 7 females). The majority required resection of both arterial and venous systems (n=8), and the technique for vascular reconstruction was either interposition grafts or femoral-femoral crossover grafts. The median operative time was 510 mins (range 330-960 mins). Clear resection margins (R0) were achieved in 9 patients. The median length of stay was 25 days (range 7-83 days). Seven patients did not suffer an early complication. There was one serious complication (Clavien-Dindo ≥3), an arterial graft occlusion secondary to thrombus in the immediate postoperative period, requiring a return to theatre and thrombectomy. The median length of follow-up in this study was 22 months (range 4-58 months). CONCLUSION:This series demonstrates that en-bloc major vascular resection and reconstruction can be performed safely and achieve clear resection margins in selected patients with locally advanced or recurrent pelvic malignancy at specialist surgery centres.
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最新影响因子:3.917 | 期刊ISSN:1462-8910 | CiteScore:1.86 |
出版周期:Bimonthly | 是否OA:YES | 出版年份:1999 |
期刊官方网址:http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1463-1318
自引率:11.20% | 研究方向:医学-胃肠肝病学 |
出版地区:ENGLAND |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Colorectal Disease is a new journal publishing original research in any discipline relating to colorectal pathology. The journal will further education and inter-professional development by including regular review articles, discussions of current controversies, occasional highly selected case reports, and question and answer features.Colorectal Disease is the official organ of the Association of Coloproctology of Great Britain and Ireland. The journal will report news of the Association and take a major interest in coloproctological matters across Europe as a whole.
《结直肠疾病》是一本新的期刊,出版了与结直肠病理学相关的任何学科的原始研究。该杂志将通过定期的评论文章、当前争议的讨论、偶尔的高选择性病例报告以及问答特征来促进教育和跨专业发展。结肠直肠病是大不列颠和爱尔兰结肠直肠病学会的官方机构。该杂志将报道该协会的新闻,并对整个欧洲的结肠直肠疾病有很大的兴趣。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
GASTROENTEROLOGY & HEPATOLOGY (胃肠肝病学) 4区 SURGERY (外科) 2区 |
49/80 49/200 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
172 | 148 | 24 |
引文计数(2018)
文献(2015-2017)
1545次引用
830篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Gastroenterology
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#58/128
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研究方向:医学 外科
审稿时间: 1个月内
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研究方向:meta 结直肠
审稿时间: 2个月内 接受率: 中等(50%命中)
影响因子:6.497
ISSN:1172-7047
研究方向:医学-精神病学
影响因子:1.297
ISSN:0028-2804
研究方向:医学-精神病学
影响因子:4.604
ISSN:1092-8529
研究方向:医学-精神病学
影响因子:5.345
ISSN:1398-5647
研究方向:医学-精神病学
影响因子:3.492
ISSN:1540-2002
研究方向:CLINICAL NEUROLOGY-PSYCHIATRY
影响因子:4.562
ISSN:0269-8811
研究方向:医学-精神病学
影响因子:6.533
ISSN:0165-0327
研究方向:医学-精神病学
影响因子:5.415
ISSN:0924-977X
研究方向:医学-精神病学
影响因子:2.493
ISSN:0925-4927
研究方向:医学-精神病学
发表一篇学和医学成像类SCI论文
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