Day T K, Bates T
Br J Surg. 1984 Jul;71(7):558-60. doi: 10.1002/bjs.1800710729.
Forty patients presenting with obstructing left colon tumours between 1975 and 1980 were treated by a modified Paul-Mikulicz resection. The hospital mortality was 5 per cent. Subsequent mortality was largely related to the stage of the tumour at presentation and was not higher than that to be expected after an elective resection. In 21 patients the procedure was palliative and 16 of these patients later died. The quality of palliation was reasonable in 80 per cent and poor in 20 per cent. Despite the need for a second hospital stay to close the colostomy, time in hospital accounted, on average, for less than one-tenth of the remaining lifespan in those having a palliative resection.
1975年至1980年间，40例患有梗阻性左半结肠肿瘤的患者接受了改良的Paul-Mikulicz切除术。医院死亡率为5%。后续死亡率主要与就诊时肿瘤的分期有关，并不高于择期切除术后预期的死亡率。21例患者接受的是姑息性手术，其中16例患者后来死亡。80%的患者姑息治疗质量合理，20%的患者较差。尽管需要再次住院关闭结肠造口，但接受姑息性切除的患者住院时间平均占剩余寿命的不到十分之一。
