title: Abdominoperineal resection for carcinoma in the community hospital.
abstract: All abdominoperineal resections for carcinoma of the rectum carried out 1963-1972 in two small community hospitals are reviewed. Seventy-six patients were found: males slightly outnumbered females; the average age was 61. There were 67 adenocarcinomas, 7 squamous cell carcinomas and one each of villous adenoma and carcinoid. Distribution of Dukes' classification was: A-20, B-26, C-21, D-9. In an average case the operative time was 3 hours, 25 minutes, 4 units of blood were used, and postoperative hospital stay was 30 days. Postoperative complications were recorded in over 50% of the patients with reoperation needed in 26% of all patients and delayed complications occurred in 41%. The operative mortality was 1.3%. Five year followup was possible in 40 of 43 patients; survival according to Dukes' classification was A-80%, B-53%, C-9% and D-25% with overall survival 45%.
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000230:Adenocarcinoma / Q000601:surgery*; D000236:Adenoma / Q000601:surgery*; D001803:Blood Transfusion; D002276:Carcinoid Tumor / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006764:Hospitals, Community; D007417:Intestinal Polyps / Q000150:complications; D007902:Length of Stay; D008297:Male; D008499:Medical Records; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D001261:Pulmonary Atelectasis / Q000209:etiology; D012004:Rectal Neoplasms / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology