OPERATIVE MORTALITY IN CARCINOMA OF THE RECTUM - RESULTS OF THE GERMAN MULTICENTER STUDY

被引：70

作者：

KESSLER, H

HERMANEK, P

WIEBELT, H

机构：

[1] Department of Surgery, University of Erlangen

[2] Maximiliansplatz, Chirurgische Universitätsklinik, Erlangen

[3] Department of Surgery, University of Regensburg

[4] Department of Epidemiology, German Cancer Research Center, Heidelberg

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1993年 / 8卷 / 03期

关键词：

D O I：

10.1007/BF00341191

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

An analysis of operative mortality for carcinoma of the rectum in the German Study Group Colo-Rectal Carcinoma (SGCRC) comprising 1115 operated patients, found a total operative mortality rate of 4.3% and a 30-day-mortality rate of 2.8%. Advanced age, severe concurrent disease, anastomotic leakage in anterior resections and institution were found to be factors with independent significant influence. In anterior resections, especially low anterior resections, with protective enterostomy, the lower rates of anastomotic leakage and mortality emphasize the advantages of protective enterostomy.

引用

页码：158 / 166

页数：9

共 56 条

[1]

Heberer G., Denecke H., Pratschke E., Teichmann R., Anterior and low anterior resection, World J Surg, 6, pp. 517-524, (1982)

[2]

Grundmann R., Blettenberg U., Pichlmaier H., Behandlung des colorektalen Karzinoms in den letzten 35 Jahrenperioperativer Aufwand und postoperatives Ergebnis, Leber Magen Darm, 14, pp. 174-180, (1984)

[3]

Gall F.P., Scheele J., Maligne Tumoren des Rektums, Chirurgische Onkologie: Histologie- und stadiengerechte Therapie maligner Tumoren, pp. 520-580, (1986)

[4]

Eigler F.W., Gross E., Niebel W., Die chirurgische Therapie des Rektumkarzinoms, Radiologe, 26, pp. 369-375, (1986)

[5]

Trollope M.L., Cohen R.G., Hewlett, Cannon W.B., Marzoni F.A., Cressman R.D., A 7-year experience with low anterior sigmoid resections using the EEA-stapler, Am J Surg, 152, pp. 11-15, (1986)

[6]

Kiene S., Schenker U., Zur chirurgischen Therapie des Rektumkarzinoms, Zentralbl Chir, 112, pp. 958-967, (1987)

[7]

Belli L., Beati C.A., Frangi M., Aseni P., Rondinara G.F., Outcome of patients with rectal cancer treated by stapled anterior resection, Br J Surg, 75, pp. 422-424, (1988)

[8]

Sweeney J.L., Ritchie J.K., Hawley P.R., Resection and sutured peranal anastomosis for carcinoma of the rectum, Dis Colon Rectum, 32, pp. 103-106, (1989)

[9]

Canivet J.L., Damas P., Desaive C., Lamy M., Operative mortality following surgery for colorectal cancer, Br J Surg, 76, pp. 745-747, (1989)

[10]

Jarvinen H.J., Luukkonen P., Sphincter saving surgery for rectal carcinoma. Comparison of two five-year periods from 1980 to 1989, Ann Chir Gynaecol, 80, pp. 14-18, (1991)

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