Rubay J, Boeur J P
Acta Chir Belg. 1978 Sep-Oct;77(5):317-26.
The authors report there surgical experience with rectal cancer. From 1963 to 1974, 346 patients were hospitalized, of which 359 were operated, which constitute a operatory rate of 98%. A exeresis was performed in 85% of the cases. Briefly, the authors use two types of operation : an anterior resection and an abdominoperineal amputation of the rectum with two synchronized teams--the operation of Lloyd-Davies--which constitutes an obvious progress compared to the operation of Miles. The overall postoperatory mortality remained high : 8.8% which represents 10.1% for the operation of Lloyd-Davies, and 6.7% for the anterior resection. Two hundred and twenty-four patients have been operated with a follow-up of at least 5 years; 4 [1.6%] were not reseen and are considered deceased. The overall survival at 5 years was 36.4%. The survival rate at 5 years, not corrected, of operations including an exeresis was 43.1% which represents 37.2% for the operation of Lloyd-Davies and 51.2% for the anterior resection. This survival rate includes all patients operated and not only those who survived the operation.
作者报告了他们在直肠癌手术方面的经验。1963年至1974年期间，346例患者住院，其中359例接受了手术，手术率为98%。85%的病例进行了切除。简而言之，作者采用两种手术方式：前切除术和直肠腹会阴联合切除术，由两个同步团队进行——劳埃德 - 戴维斯手术——与迈尔斯手术相比有明显进步。术后总体死亡率仍然很高：为8.8%，其中劳埃德 - 戴维斯手术的死亡率为10.1%，前切除术的死亡率为6.7%。224例患者接受了手术，至少随访5年；4例（1.6%）失访，被视为死亡。5年总生存率为36.4%。包括切除在内的手术5年未校正生存率为43.1%，其中劳埃德 - 戴维斯手术为37.2%，前切除术为51.2%。该生存率包括所有接受手术的患者，而不仅仅是那些术后存活的患者。
