[Cancer of the colorectum in the aged. Clinical considerations with reference to our case series of 65 operated cases during the triennial, 1984-1986].
Starting from the note that in industrialised countries colorectal tumours are an increasingly serious problem, especially in the elderly, and after some epidemiological remarks, a personal series of 65 consecutive operations on over--70s in a three-year period is considered. Personal statistics are analysed following careful assessment of risk factors and the immediate and long-term surgical results, also examined on the basis of reported data. It is noted, first, that age is never an absolute contraindication to surgery; second that early diagnosis is basic for the achievement of an improved prognosis: proof of this lies in the excessive number of emergency operations for occlusion or perforation. On the other hand, while it is true that extreme radicalism at an advanced stage does not imply any substantial modification to prognosis, it should also be recognised that the shortening of surgical times (after the introduction of mechanical staplers and the improvement in anaesthesiological assistance techniques) offer greater scope for manoeuvre.
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G
De Fabritiis
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G
Pirazzoli
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Seracchioli
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C
Tuci
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PM
Pavanello
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis
Il cancro del colon retto nell'anziano. Considerazioni cliniche in riferimento alla nostra casistica di 65 casi operati nel triennio 1984-1986.