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[结直肠癌。哪些因素对术后并发症的发生起决定性作用?]

[Colorectal carcinoma. Which factors are decisive for development of postoperative complications?].

作者信息

Tonus C, Keller O, Kropp R, Nier H

机构信息

Allgemein-, Gefäss- und Thoraxchirurgie, Städtische Kliniken Offenbach, Offenbach am Main.

出版信息

Langenbecks Arch Chir. 1996;381(5):251-7. doi: 10.1007/BF00184045.

Abstract

This retrospective study analyses the prognostic effect of different factors on morbidity and lethality based on selected, primarily resecting colon carcinoma operations (n = 222). In all, 12.2% of our operations were performed under emergency conditions. The total complication rate was 31.5%, the lethality rate 7.7%. The left hemicolectomy cases showed the highest morbidity (48.4%), the rectum amputation the highest lethality (11.8%). Tumour staging tumour differentiation and the sex of the patient showed no significant influence on the postoperative morbidity and lethality. However, a correlation was proved between the age of the patient, tumour localisation, co-morbidity, duration of operation and the conditions under which the operation was performed (emergency or elective), on the one hand, and morbidity and lethality on the other.

摘要

这项回顾性研究基于选定的主要为根治性结肠癌手术(n = 222),分析了不同因素对发病率和死亡率的预后影响。总体而言,我们的手术中有12.2%是在紧急情况下进行的。总并发症发生率为31.5%,死亡率为7.7%。左半结肠切除术病例的发病率最高(48.4%),直肠切除术的死亡率最高(11.8%)。肿瘤分期、肿瘤分化程度及患者性别对术后发病率和死亡率无显著影响。然而,已证实患者年龄、肿瘤定位、合并症、手术持续时间以及手术实施的条件(紧急或择期)一方面与发病率和死亡率另一方面之间存在相关性。

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