Lippert H, Gastinger I
Ostedeutsche Arbeitsgruppe Leistungserfassung und Qualitätssicherung in der Chirurgie, Deutschen Gesellschaft für Chirurgie.
Chirurg. 1995 Apr;66(4):344-9.
In the period of time between September 1, 1991 and August 31, 1993 a total of 1927 patients at 22 East German hospitals were operated for colorectal carcinoma. In anticipation of quality assuring aspects these surgeries were registered and interpreted. An application of a constant classification (pTNM, R-classification) at this was essential. The resection rates of 87.3% on the colon (R0-resections 74.4%) and of 83.1% on the rectum (R0-resection 70.8%) were established in total patient group. Preoperative measures and technique of surgery were also registered. The rate of the colonic anastomosis insufficiencies was about 3.2%, resp. of the rectum 8.2%. Wound suppurations occurred after surgery of the colon in 6.5% of the cases, resp. the rectum in 9.9%. The postoperative mortality was 7.1% in the overall patient group. The practical realization and the efficiency of studies for quality assurance is pointed out.
在1991年9月1日至1993年8月31日期间，东德22家医院共有1927例患者接受了结肠直肠癌手术。出于质量保证方面的考虑，对这些手术进行了登记和分析。在此过程中应用统一的分类方法（pTNM、R分类）至关重要。在整个患者群体中，结肠癌的切除率为87.3%（R0切除率为74.4%），直肠癌的切除率为83.1%（R0切除率为70.8%）。还记录了术前措施和手术技术。结肠吻合口漏的发生率约为3.2%，直肠吻合口漏的发生率为8.2%。结肠癌手术后伤口化脓的发生率为6.5%，直肠癌手术后伤口化脓的发生率为9.9%。整个患者群体的术后死亡率为7.1%。文中指出了质量保证研究的实际实施情况和效果。
