Redtenbacher M, Lexer G, Weitensfelder W, Henning K
Chirurg. 1985 May;56(5):315-8.
In 1982 and 1983, 15 patients (14 women, 1 man) suffering from large tumors of the rectum and of the rectosigmoidal junction totally filling the small pelvis, underwent operation. Depending on the extent of the tumor, 8 patients underwent a hysterectomy (53.3%), 7 a resection of the small intestine (46.6%), five a resection of part of the bladder (33.3%), three a resection of the vagina (20%), two an extirpation of the bladder (13.3%), and one each a nephrectomy, a resection of the ureter, a resection of the pelvic vein, and a resection of the abdominal wall. In two cases an ileal conduit was applied, in three an ureter splint. Hospital lethality rate was 20% (3 patients) with an average hospital stay of 53 days. After an average observation period of 18.3 months, 8 patients were still alive. The probability of surviving 12 months was 63%. - The surgical concept applied is presented.
1982年和1983年，15例（14名女性，1名男性）患有直肠及直肠乙状结肠交界处大肿瘤且肿瘤完全占据小骨盆的患者接受了手术。根据肿瘤范围，8例患者接受了子宫切除术（53.3%），7例接受了小肠切除术（46.6%），5例接受了部分膀胱切除术（33.3%），3例接受了阴道切除术（20%），2例接受了膀胱摘除术（13.3%），1例分别接受了肾切除术、输尿管切除术、盆腔静脉切除术和腹壁切除术。2例患者采用了回肠造口术，3例采用了输尿管支架。医院死亡率为20%（3例患者），平均住院时间为53天。经过平均18.3个月的观察期后，8例患者仍存活。存活12个月的概率为63%。 - 介绍了所采用的手术理念。
