Dörges J, Böhme P E
Zentralbl Chir. 1983;108(20):1299-1304.
276 patients older than 70 years suffering from colorectal cancer underwent surgery during the past 12 years. Several of these patients had additional diseases and often advanced tumour stages. The overall postoperative mortality rate came up to 18%. The results of better preoperative preparation of the bowel by irrigation and antibiotics as well as advanced operative techniques (EEA-stapler) with regard to infection rate, postoperative course and time of hospitalisation are discussed. Extensive follow-up care of treated patient is necessary.
在过去12年中,276名70岁以上的结直肠癌患者接受了手术。这些患者中有几位患有其他疾病,且肿瘤分期往往较晚。总体术后死亡率达18%。本文讨论了通过灌肠和使用抗生素进行更好的术前肠道准备以及采用先进手术技术(端端吻合器)在感染率、术后病程和住院时间方面的效果。对接受治疗的患者进行广泛的随访护理是必要的。