Table 1. Pattern of recurrence following surgery alone (selected randomized trials).
RCTs | N | Local regional recurrence | |
---|---|---|---|
Hartgrink et al. (Dutch) (20) | D2 vs. D1 dissection | D2 | D1 |
331 vs. 380† | 31.8% (95/299) | 42.2% (154/365)* | |
Zhang et al. (21) | Preoperative RT vs. surgery alone | Preoperative RT | Surgery |
171 vs. 199 | 38.60% | 51.7% (P<0.025) | |
Cunningham et al. (18) | Preoperative CT vs. surgery alone | Perioperative CT | Surgery |
250 vs. 253 | 14.4% (36/250) | 20.6% (52/253)§ | |
Macdonald et al. (19,22) | Postoperative CRT vs. surgery alone | Postoperative CRT | Surgery |
120 vs. 177 | 65.0% (78/120)∫ | 71.8% (127/177) |
†, Number achieving curative resection; *, denominator equals total treated curatively minus postoperative deaths; §, denominator equals patients assigned to the group; ∫, patients could have relapses at multiple sites, total number of relapses greater than number of patients. RCT, randomised controlled trial; RT, radiotherapy; CT, chemotherapy; CRT, chemoradiotherapy.