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Difference between revisions of "Doughnuts"
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CEEA staplers are particularly useful in low lying tumours; they allow more individuals to safely have a [[lower anterior resection]] instead of the less desirable [[abdominoperineal resection]] (APR).<ref name=pmid3728802>{{Cite journal | last1 = Trollope | first1 = ML. | last2 = Cohen | first2 = RG. | last3 = Lee | first3 = RH. | last4 = Cannon | first4 = WB. | last5 = Marzoni | first5 = FA. | last6 = Cressman | first6 = RD. | title = A 7 year experience with low anterior sigmoid resections using the EEA stapler. | journal = Am J Surg | volume = 152 | issue = 1 | pages = 11-5 | month = Jul | year = 1986 | doi = | PMID = 3728802 }}</ref> | CEEA staplers are particularly useful in low lying tumours; they allow more individuals to safely have a [[lower anterior resection]] instead of the less desirable [[abdominoperineal resection]] (APR).<ref name=pmid3728802>{{Cite journal | last1 = Trollope | first1 = ML. | last2 = Cohen | first2 = RG. | last3 = Lee | first3 = RH. | last4 = Cannon | first4 = WB. | last5 = Marzoni | first5 = FA. | last6 = Cressman | first6 = RD. | title = A 7 year experience with low anterior sigmoid resections using the EEA stapler. | journal = Am J Surg | volume = 152 | issue = 1 | pages = 11-5 | month = Jul | year = 1986 | doi = | PMID = 3728802 }}</ref> | ||
==Pathology in donuts== | |||
The value of assessing donuts in the context of ''lower anterior resections'' is questioned. A study of 125 individuals by Speake and Abercrombie found the pathologic assessment of donuts added nothing significant.<ref name=pmid12585627>{{Cite journal | last1 = Speake | first1 = WJ. | last2 = Abercrombie | first2 = JF. | title = Should 'doughnut' histology be routinely performed following anterior resection for rectal cancer? | journal = Ann R Coll Surg Engl | volume = 85 | issue = 1 | pages = 26-7 | month = Jan | year = 2003 | doi = | PMID = 12585627 }}</ref> A larger study of 336 individuals by Ng ''et al.'' reached the same conclusion and noted that the cost of processing all those donuts by pathology costed over $60,000 (US dollars).<ref name=pmid24798632>{{Cite journal | last1 = Ng | first1 = CW. | last2 = Lieske | first2 = B. | last3 = Tan | first3 = KK. | title = Routine histological sampling of doughnuts post oncologic anterior resection is not necessary. | journal = Int J Colorectal Dis | volume = 29 | issue = 7 | pages = 843-5 | month = Jul | year = 2014 | doi = 10.1007/s00384-014-1886-y | PMID = 24798632 }}</ref> | |||
==Sign out== | ==Sign out== | ||
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*[[Donut cell]]. | *[[Donut cell]]. | ||
*[[Abdominoperineal resection grossing]]. | *[[Abdominoperineal resection grossing]]. | ||
*[[Pathology and food]]. | |||
==References== | ==References== | ||