Theile D E, Cohen J R, Holt J, Davis N C
Aust N Z J Surg. 1979 Feb;49(1):62-6. doi: 10.1111/j.1445-2197.1979.tb06438.x.
The mortality and complications of large-bowel resection for carcinoma performed at the Princess Alexandra Hospital since the Colorectal Project commenced in 1971 are reviewed and compared with the results in other published series. There were 443 patients in this prospective study, and 375 underwent resection of their tumour. The overall operative mortality was 6.4% - for colonic lesions it was 8.0% and for rectal 3.4%. The mortality for elective curative resections was 2.6%, and for emergency resections it was 10.8%. The anastomotic leak rate was 6.8%, but was higher (16.6%) when the anastomosis was done at the time of emergency resection. No patient whose anastomosis leaked but who had had a previous defunctioning proximal colostomy died. There was a wound infection rate of 15.1%.
自1971年结直肠项目开展以来，对亚历山德拉公主医院实施的结肠癌大肠切除术的死亡率和并发症进行了回顾，并与其他已发表系列研究的结果进行了比较。这项前瞻性研究中有443例患者，其中375例接受了肿瘤切除术。总体手术死亡率为6.4%——结肠病变为8.0%，直肠病变为3.4%。择期根治性切除术的死亡率为2.6%，急诊切除术的死亡率为10.8%。吻合口漏发生率为6.8%，但在急诊切除时进行吻合时更高（16.6%）。吻合口漏但先前有近端结肠转流造口术的患者无一死亡。伤口感染率为15.1%。
