Safi F, Beger H G
Abteilung für Allgemeinchirurgie, Universität Ulm.
Chirurg. 1994 Feb;65(2):127-31.
Morbidity and mortality of various surgical therapy protocols for large bowel carcinoma were analysed in 1270 patients and compared to data from other working groups. We found a decline of mortality rates, especially after abdomino-perineal rectum extirpation. The infection rate of the sacral wound is, however, still as high as it used to be. The anastomotic insufficiency rate after anterior rectum resection is depending on location of the anastomoses, amounting to about 7-8% after manual suture as well as after stapled anastomosis. In colon surgery general complications are more frequent than surgical ones.
对1270例大肠癌患者的各种手术治疗方案的发病率和死亡率进行了分析,并与其他研究小组的数据进行了比较。我们发现死亡率有所下降,尤其是在腹会阴直肠切除术后。然而,骶骨伤口的感染率仍然和过去一样高。直肠前切除术后吻合口漏发生率取决于吻合部位,手工缝合和吻合器吻合后发生率约为7-8%。在结肠手术中,一般并发症比手术相关并发症更常见。