Zvezdin V P
Vopr Onkol. 1988;34(9):1108-11.
Radical surgery was performed in 971 (86.0%) cases of rectal cancer, while palliative resection or extirpation of the rectum--in 158 (14.0%). The postoperative lethality rates were 5.8 and 11.4%, respectively. Sixty-seven patients aged 60 and more underwent palliative resection or extirpation, with eight (11.9%) fatalities occurring shortly after treatment. The postoperative lethality rate was 8.8% in cases of exploratory laparotomy and symptomatic surgery, reaching 15.3% in a group of patients aged 60 years and more. It is inferred that palliative resection, extirpation and palliative combined surgery are justified in treatment advanced rectal cancer whatever patient's age.
971例（86.0%）直肠癌患者接受了根治性手术，158例（14.0%）接受了姑息性直肠切除术或直肠摘除术。术后死亡率分别为5.8%和11.4%。67例60岁及以上患者接受了姑息性切除或摘除术，8例（11.9%）在治疗后不久死亡。探查性剖腹术和对症手术的术后死亡率为8.8%，60岁及以上患者组中这一比例达到15.3%。据推断，无论患者年龄多大，姑息性切除、摘除及姑息性联合手术在晚期直肠癌治疗中都是合理的。
