Schweiger M, Gall F P, Hermanek P J, Knoch M
Fortschr Med. 1984 Mar 22;102(11):298-300.
The results of surgical treatment in 1032 patients with adenocarcinoma of the colon are demonstrated. In 90% a tumorresection was carried out. In 83% this resection was curative. The more advanced cancers could be found in the colon above the sigmoid. Preoperative tumor complications occurred more frequently in this area. The postoperative mortality rate after resektion of colonic carcinomas was overall 8.3% (elective surgery 6.6%; emergency surgery 20%). In the right colon an anastomotic leakage happened in 5.6%, in the left colon in 9.1%. In the right colon this complication was with a mortality rate of 67%, twice as high. The analysis of the survival rates proved that prognosis depends on the tumor stage, not on the location of the colonic cancer.
展示了1032例结肠癌患者的手术治疗结果。90%的患者进行了肿瘤切除。其中83%的切除是根治性的。更晚期的癌症多见于乙状结肠以上的结肠。该区域术前肿瘤并发症更为常见。结肠癌切除术后的总体死亡率为8.3%(择期手术为6.6%;急诊手术为20%)。右半结肠吻合口漏发生率为5.6%,左半结肠为9.1%。在右半结肠,这种并发症的死亡率为高达67%,是左半结肠的两倍。生存率分析证明,预后取决于肿瘤分期,而非结肠癌的位置。