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371例结肠癌;分析与结果(作者译)

[Three hundred and seventy-one cases of colon carcinoma; analysis and results (author's transl)].

作者信息

Rubay J, Marievoet C

出版信息

Acta Chir Belg. 1980 Nov-Dec;79(6):373-82.

PMID:7245994
Abstract

Between 1963 and 1978 the authors operated 371 patients for adenocarcinoma of the colon. The operability rate was as high as 99%. Sixty-three percent of the group were women. The average age was 66 years. A resection could be done in 86.5% of the cases; of those 75% were considered curative. Only 6.7% were stage A. Right-sided lesions were treated with a right hemicolectomy. On the left side a left hemicolectomy was the operation of choice. A segmental resection was performed when local and general factors were unfavorable. The operative mortality (within 30 days) was 12.5% for the total group for "curative" resections the mortality was 9.9% all cases considered and 7.3% for these operated upon between 1971 and 1978. The survival rate for all operated patients is 34.8% (corrected 42.1%) 5 years later and remains about the same at 10 years (29.3%) (corrected 41.9%).

摘要

1963年至1978年间,作者为371例结肠癌患者实施了手术。手术成功率高达99%。该组患者中63%为女性。平均年龄为66岁。86.5%的病例可以进行切除手术;其中75%被认为是根治性的。只有6.7%为A期。右侧病变采用右半结肠切除术治疗。左侧病变则选择左半结肠切除术。当局部和全身因素不利时,进行节段性切除。全组患者的手术死亡率(30天内)为12.5%,“根治性”切除的死亡率为9.9%,所有病例综合考虑为7.3%,1971年至1978年间接受手术的患者死亡率为7.3%。所有接受手术患者5年后的生存率为34.8%(校正后为42.1%),10年后保持在大致相同水平(29.3%)(校正后为41.9%)。

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