Abdominoperineal Resection for Carcinoma in the Community Hospital
| Autor: | Salvatore Mazzara, Andrus J. Voitk |
|---|---|
| Rok vydání: | 1974 |
| Předmět: |
Adenoma
Male Villous adenoma Pulmonary Atelectasis medicine.medical_specialty Rectum Hospitals Community Carcinoid Tumor Adenocarcinoma Medical Records Postoperative Complications Abdomen medicine Carcinoma Overall survival Surgical Wound Infection Blood Transfusion Rectal Neoplasms Abdominoperineal resection business.industry Operative mortality Intestinal Polyps Articles Length of Stay medicine.disease Community hospital Surgery medicine.anatomical_structure Carcinoma Squamous Cell Colitis Ulcerative Female Peritoneum business Hospital stay Follow-Up Studies |
| Zdroj: | Annals of Surgery. 179:842-845 |
| ISSN: | 0003-4932 |
| DOI: | 10.1097/00000658-197406000-00004 |
| Popis: | 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%. |
| Databáze: | OpenAIRE |
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