The British journal of surgery
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Review Meta Analysis Comparative Study
Systematic review and meta-analysis of trainee- versus expert surgeon-performed colorectal resection.
The aim of this meta-analysis was to compare short-term and oncological outcomes following colorectal resection performed by surgical trainees and expert surgeons. ⋯ In selected patients, it is appropriate for supervised trainees to perform colorectal resection.
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Multicenter Study Comparative Study
Multicentre propensity score-matched analysis of conventional versus extended abdominoperineal excision for low rectal cancer.
Abdominal perineal excision (APE) was originally described with levator ani removal for rectal cancer. An even wider, more aggressive extralevator resection for APE has been proposed. Although some surgeons are performing a very wide 'extralevator APE (ELAPE)', there are few data to recommend it routinely. This multicentre study aimed to compare outcomes of APE and ELAPE. ⋯ ELAPE does not improve rates of CRM involvement, intraoperative tumour perforation, local recurrence or mortality.