Gall F P, Tonak J, Altendorf A
Dis Colon Rectum. 1987 May;30(5):337-41. doi: 10.1007/BF02555450.
From 1969 to 1983 a total of 1918 patients with colorectal cancer were treated by curative resection. One hundred twenty one patients in this group had multivisceral organ involvement, necessitating extended multivisceral radical resection. Tumor infiltration was proven histologically in 55 percent, while 45 percent had inflammatory adherence to the attached organ only. Postoperative mortality was 12 percent. Dukes' A and B stages were present in 57 percent. The five-year survival rate (postoperative mortality included) was 54 percent for patients with inflammatory adherence, 49 percent for patients with tumor infiltration resected en bloc without tumor tears of rupture, and 17 percent when the surgeon inadvertently had torn or cut into tumor tissue during resection.
1969年至1983年期间，共有1918例结直肠癌患者接受了根治性切除术。该组中有121例患者存在多脏器受累，需要进行扩大的多脏器根治性切除术。经组织学证实，55%的患者存在肿瘤浸润，而45%的患者仅为与附着器官的炎性粘连。术后死亡率为12%。Dukes' A期和B期患者占57%。炎性粘连患者的五年生存率（包括术后死亡率）为54%，整块切除且无肿瘤破裂或撕裂的肿瘤浸润患者为49%，而手术过程中外科医生不慎撕裂或切入肿瘤组织的患者五年生存率为17%。
