Voitk A J, Mazzara S
Ann Surg. 1974 Jun;179(6):842-5. doi: 10.1097/00000658-197406000-00004.
All abdominoperineal resections for carcinoma of the rectum carried out 1963-1972 in two small community hospitals are reviewed. Seventy-six patients were found: males slightly outnumbered females; the average age was 61. There were 67 adenocarcinomas, 7 squamous cell carcinomas and one each of villous adenoma and carcinoid. Distribution of Dukes' classification was: A-20, B-26, C-21, D-9. In an average case the operative time was 3 hours, 25 minutes, 4 units of blood were used, and postoperative hospital stay was 30 days. Postoperative complications were recorded in over 50% of the patients with reoperation needed in 26% of all patients and delayed complications occurred in 41%. The operative mortality was 1.3%. Five year followup was possible in 40 of 43 patients; survival according to Dukes' classification was A-80%, B-53%, C-9% and D-25% with overall survival 45%.
回顾了1963年至1972年在两家小型社区医院进行的所有直肠癌腹会阴联合切除术。共发现76例患者：男性略多于女性；平均年龄为61岁。其中腺癌67例，鳞状细胞癌7例，绒毛状腺瘤和类癌各1例。杜克氏分期分布为：A期20例，B期26例，C期21例，D期9例。平均手术时间为3小时25分钟，输血量为4个单位，术后住院时间为30天。超过50%的患者记录有术后并发症，26%的患者需要再次手术，41%的患者出现延迟性并发症。手术死亡率为1.3%。43例患者中有40例进行了五年随访；根据杜克氏分期的生存率为：A期80%，B期53%，C期9%，D期25%，总体生存率为45%。
