Kierkegaard O, Olesen B
Herning Centralsygehus, kirurgisk afdeling.
Ugeskr Laeger. 1991 Jul 29;153(31):2182-4.
The results of treatment of 355 patients with adenocarcinoma of the rectum treated during the period 1973-1982 in a department for general surgery were compared with the results obtained in other more specialized departments. The 5 year survival rate, corrected for deaths from other causes than cancer of the rectum, was calculated retrospectively to be 35% which was comparable with certain departments. Some highly specialized departments had, however, better results. The postoperative mortality was high (14%). Highly differentiated tumours resulted in better prognoses than poorly differentiated tumours (p less than 0.001). The median age was relatively high (67 years) and relatively many of the patients were men (62%). Patients in whom haemorrhage was the first symptom had better prognoses than patients with other symptoms (p = 0.018). The prognoses were similar regardless of the durations of symptoms.
对1973年至1982年期间在普通外科治疗的355例直肠癌患者的治疗结果与其他更专业科室的治疗结果进行了比较。经回顾性计算，校正因直肠癌以外其他原因导致的死亡后，5年生存率为35%，这与某些科室相当。然而，一些高度专业化的科室有更好的治疗结果。术后死亡率很高（14%）。高分化肿瘤的预后优于低分化肿瘤（p<0.001）。中位年龄相对较高（67岁），男性患者相对较多（62%）。以出血为首发症状的患者预后优于有其他症状的患者（p=0.018）。无论症状持续时间长短，预后相似。
