Pull-through resections for carcinoma of the rectum.
Pull-through operations have been undergoing evaluation as a treatment for carcinoma of the rectum in several centres. Functional results at one and two years have been between 1960 and 1970, which enables a five-year follow-up. Forty-eight of these were palliative procedures, with a mean survival time of nine months. Only 11 patients were Dukes A cases and none of these have died from their disease. One hundred and five were Dukes B, with a 73% five-year survival. The Dukes C cases had only a 22% five-year survival. The main problems have been related to the blood supply to the exteriorized distal colon.
D000328:Adult; D000368:Aged; D003106:Colon / Q000098:blood supply; D003107:Colorectal Surgery / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications / Q000453:epidemiology; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*