Knysh V I, Ozhiganov E L, Anan'ev V S
Vestn Khir Im I I Grek. 1987 Mar;138(3):51-5.
Results of reoperations for recurrent cancer of the large bowel in 164 patients are analyzed. Radical operations were performed in 110 patients (67.0%). The main operations used were resections of the malignized segment of the bowel (48 patients) and abdomino-perineal extirpation of the bowel with the anastomosed portion of the colon or its stump after the Hartmann operation (38 patients). Postoperative complications were noted in 27.6% of the patients. Lethality after radical operations was 10%. The follow-up analysis has shown that of all the discharged patients 40.7% survived more than 3 years, 31%--more than 5 years.
对164例大肠复发性癌再次手术的结果进行了分析。110例患者(67.0%)接受了根治性手术。主要采用的手术方式为切除肠段恶变部分(48例)以及经腹会阴联合切除肠段并在Hartmann手术后吻合结肠部分或其残端(38例)。27.6%的患者出现了术后并发症。根治性手术后的死亡率为10%。随访分析显示,所有出院患者中,40.7%存活超过3年,31%存活超过5年。