J Buon
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The role totally implantable vascular devices (TIVAD) have an important role in providing care to cancer patients who require continuous or frequent venous access route either for their primary or supportive care treatments. This retrospective study aimed to analyze the efficacy of TIVAD and device-related complications. ⋯ Most of the complications of TIVAD were early without requiring removal. Port catheters for chemotherapy are safe and well tolerated with acceptable complication rates.
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To evaluate the accuracy of magnetic resonance imaging (MRI) for restaging locally advanced nonmucinous rectal cancer after neoadjuvant chemoradiotherapy (CRT). ⋯ Restaging rectal cancer still remains a challenge and better methods are urgently required. The surgical plan before treatment should not be changed except in those cases who had pCR, intolerance or refusing radical operation, for whom an observation strategy could be taken into consideration after the excellent specificity in predicting pCR.
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The quality of decision-making in the colorectal multidisciplinary team (MDT) meetings can significantly affect the quality of care delivered to patients with colorectal cancer. We performed a prospective study to assess the quality of the MDT meetings in a specialized colorectal unit using an externally observational validated tool. ⋯ The cMDT-MODe tool can be used to prospectively audit the quality of clinical decision-making in the colorectal MDT meetings and highlight the fields of potential improvement.
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Randomized Controlled Trial
Combined neurolytic block of celiac and superior hypogastric plexuses for incapacitating upper abdominal cancer pain.
To evaluate the efficacy of a combined neurolytic block of the celiac and superior hypogastric plexuses for incapacitating upper abdominal cancer pain. ⋯ A combined neurolytic block of the celiac and superior hypogastric plexuses is more effective than neurolytic celiac plexus block alone in pain relief for patients with advanced upper abdominal cancer.