[Rectosigmoid cancer. Report on 442 cases].
Between 1961 and 1980 442 patients with rectosigmoidal carcinoma were treated. As preparation for operation and technique changed in 1974, two groups were formed: those between 1961 and 1973 (n = 196) and those from 1974 to 1980 (n = 246). The average duration of treatment was reduced from 63 to 36 due to out-patient preoperative measures. Resection (continent and incontinent) was the standard procedure, with local transanal excision in occasional cases. Continence preserving resection increased two-fold when compared with amputation in the second period. The death rate in 337 resected tumours was 18.5% and could be reduced from 22% to 16%. The death rate unrelated to operation remained unchanged whereas the operative mortality after a curative procedure fell from 11% to 2%. The reduction in death rate directly due to the operation was particularly noticeable in the simultaneous abdomino-perineal rectal amputation. Only one out of 18 patients operated on in this way died due to massive pulmonary embolism.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D002648:Child; D002675:Child, Preschool; D003125:Colostomy; D005242:Fecal Incontinence / Q000517:prevention & control; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008875:Middle Aged; D011379:Prognosis; D012004:Rectal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D012811:Sigmoid Neoplasms / Q000601:surgery*; D013997:Time Factors
Das Rektosigmoid-Karzinonom. Bericht über 442 Fälle.