Rubay J, Boeur J P
Acta Chir Belg. 1979 Jul-Aug;78(4):243-9.
From 1963 to 1977 included, the authors operated 391 cancers of the rectum, out of 396 cases, which makes up for 98.5%. The tumor was felt on rectal examination in 60% of patients. Resection was performed in 86% of the cases. Schematically the authors recognize 2 types of operations: the anterior resection and the abdomino-perineal amputation by 2 synchronic teams--operation of Lloyd-Davies--that represents a significant progress compared to Miles' operation. Lately preoperative cobalt therapy (2,500 r) has been used for low tumors. Postoperative mortality remains elevated: 9.1% of which 10.1% for the Lloyd-Davies procedures and 7.2% for the anterior resections. Two hundred and sixty-seven patients have at least a 5 year follow-up; four, i.e. 1.5%, were last to follow-up and are considered dead. Gross overall 5 year survival is 36%. Non corrected 5 year survival, after resection is 42.8% dividing in 37.3% for Lloyd-Davies procedures and 51.2% for anterior resections; these figures include all operated patients and not only those who survived the operation.
在1963年至1977年（含）期间，作者共对396例直肠癌患者中的391例进行了手术，占比98.5%。60%的患者经直肠检查可摸到肿瘤。86%的病例进行了切除手术。作者概括性地认可两种手术方式：前切除术以及由两个同步团队进行的腹会阴联合切除术——即劳埃德 - 戴维斯手术，与迈尔斯手术相比，这是一项重大进展。最近，术前钴治疗（2500伦琴）已用于低位肿瘤。术后死亡率仍然较高：总体为9.1%，其中劳埃德 - 戴维斯手术为10.1%，前切除术为7.2%。267例患者至少接受了5年的随访；4例，即1.5%，最后一次随访时被视为死亡。总体5年粗生存率为36%。切除术后未经校正的5年生存率为42.8%，其中劳埃德 - 戴维斯手术为37.3%，前切除术为51.2%；这些数字包括所有接受手术的患者，而不仅仅是那些手术存活的患者。
