Socio-economic deprivation was associated with younger age at diagnosis, longer diagnostic delay, greater operative mortality and a shorter duration of survival following R0 gastrectomy. These poorer outcomes were not explained by the stage of disease at diagnosis.

Left sided gallbladders are rare and this case describes cholecystectomy without additional port placement.

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contolled trial including incontinence scoring, anorectal manometry and endoanal ultrasound assessment at up to three months. Dis Colon Rectum 2000; 12: 1666-75. 5 Thaha MA, Kazini SA, Irvine LA et al. New onset faecal urgency and its impact on recovery following circular stapled anopexy: preliminary results of a multicentre randomised controlled trial. Br J Surg 2003; 90 (Suppl.): 65 (Abstract). 6 Quah HM, Hadi HIA, Hay DJ, Maw A. Residual staples as a possible cause of recurrent rectal bleeding after stapled haemorrhoidectomy. Colorectal Dis 2003; 5: 193. 7 Fazio VW. Early promise of stapling technique for haemorrhoidectomy. Lancet 2000; 355: 768-9. 8 Pescatori M. Stapled rectal prolapsectomy. Dis Colon Rectum 2000; 43: 876-7. 9 Watson AJM, Laren CM, Chapman AD, Binnie NR, Loudon MA. Further cautionary talesfrom histopathology of stapled haemorrhoidopexy specimens. Colorect Dis 2003; 5: 270-2.

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