Lavorato F, Germiniani R, Orio A, Maione G
Minerva Chir. 1981 Apr 30;36(8):505-9.
A comparison was made between 73 patients with colon-rectum neoplasia operated urgently due to occlusion and 85 electively operated in the absence of mechanical ileus. Six parameters were examined: 1) Duration of preoperative symptomatology; 2) Seriousness of preoperative symptomatology; 3) Extention of neoplasia at surgery; 4) Type of operation; 5) Postoperative mortality; 6) Long-term survival. It was found that obstruction often occurs within 5 months after the onset of symptoms and in cases where the tumour is still local (55%). It is attended by higher postoperative mortality (22%) and shorter survival (18 as opposed to 23 months).
对73例因肠梗阻而紧急接受结肠直肠肿瘤手术的患者与85例在无机械性肠梗阻情况下择期手术的患者进行了比较。检查了六个参数:1)术前症状持续时间;2)术前症状的严重程度;3)手术时肿瘤的扩展情况;4)手术类型;5)术后死亡率;6)长期生存率。结果发现,梗阻常发生在症状出现后的5个月内,且肿瘤仍局限的病例中(55%)。其术后死亡率较高(22%),生存期较短(18个月,而择期手术患者为23个月)。