Wedell J, Fischer R, Meier zu Eissen P, Banzhaf G
Abteilung Colo-Proktologie, Kreiskrankenhauses Herford, Akademisches Lehrkrankenhaus.
Chirurg. 1989 Mar;60(3):168-71.
From 1973 to 1983 68 patients with villous and tubulovillous adenomas were operated by the peranal technique of Parks and Stuart. Seven patients had a circumferential adenoma and in ten patients (14.7%) an invasive cancer was found, four patients with Dukes A and six patients with Dukes B. The lethality of the 68 patients was 1.5% and the morbidity 4.5%. By a follow-up between 5 and 15 years the recurrence rate was 20.9%. There was no recurrence of cancer, especially not in the two patients with primary excision of an invasive carcinoma.
1973年至1983年期间，68例绒毛状和管状绒毛状腺瘤患者接受了帕克斯（Parks）和斯图尔特（Stuart）的经肛门手术。7例患者患有环状腺瘤，10例患者（14.7%）发现有浸润性癌，4例为Dukes A期，6例为Dukes B期。68例患者的死亡率为1.5%，发病率为4.5%。经过5至15年的随访，复发率为20.9%。癌症无复发，尤其是在两名接受浸润性癌初次切除的患者中。
