PELVIC EXENTERATION FOR LOCALLY ADVANCED COLORECTAL-CARCINOMA

被引:85
作者
BOEY, J [1 ]
WONG, J [1 ]
ONG, GB [1 ]
机构
[1] UNIV HONG KONG, QUEEN MARY HOSP, DEPT SURG, HONG KONG, HONG KONG
关键词
D O I
10.1097/00000658-198204000-00022
中图分类号
R61 [外科手术学];
学科分类号
摘要
Pelvic exenteration provided worthwhile palliation and achieved a cumulative 5 yr survival rate of 38.8% in 49 patients who had carcinoma of the lower colon or rectum infiltrating adjoining pelvic viscera. Survival and the disease-free period were not significantly different after total or posterior exenteration. The stage of disease was the major determinant of outcome; 5 yr survival rates averaged 51.8% and 28.8% for Stages II and III, respectively. Hospital mortality (26.9%) after total exenteration was chiefly due to technical mishaps, and the inclusion of many high-risk but symptomatic elderly patients. Complete clearance of locally advanced colorectal cancer by pelvic exenteration is indicated in fit patients, especially those with Stage II disease.
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页码:513 / 518
页数:6
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