摘要:

SummaryIn a series of 44 consecutive patients with low anterior resection, there was no pelvic abscess or fistula formation in the 22 patients for whom continuous sump‐suction drainage was used, and the morbidity was low. In 22 patients without sump‐suction drainage, three had pelvic abscesses: two drained spontaneously and one was drained surgically. All three patients required defunctioning colostomies, and there was one death in this group. With attention to the known and accepted principles of good bowel surgery, careful technic, and the use of continuous sump‐suction drainage, low anterior resection can be performed safely with low morbidity.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

SummaryWe have reported a series of 351 patients undergoing resection for diverticulitis, in 27 of whom a coexisting carcinoma in the same segment was found, an incidence of 7.7 per cent. In 13 instances cancer was not suspected preoperatively. Even by palpation of the isolated protected segment of involved bowel, we were unable to diagnose accurately the presence of the carcinoma, an error of 40.7 per cent. We believe that until more exacting methods of diagnosis are made available, and in view of the increase in life expectancy, as well as the increased incidence of cancer, where there is the slightest measure of doubt, the apparent diverticular segment should be removed as if it were frank cancer. We further plead for higher levels of suspicion and earlier surgical extirpation.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

SummaryThere were 50 primary cases of carcinoma of the splenic flexure at Memorial Hospital in the period from 1950 to 1966. Of the 50 patients, 31 were men and 19 were women. Curative resection was performed in 38 cases. palliative resection in nine, a bypass operation in one, and a transverse colostomy in one. The five‐year survival of the patients without distant metastases (Dukes' A, B, and C) was significantly inferior when compared with that of the overall colonic‐cancer group, 50 and 69.25 per cent, respectively. Splenectomy and distal pancreatectomy in resection of carcinoma of the splenic flexure did not seem to improve five‐year survival. Pathologic study of the removed spleens and pancreases failed to reveal metastases.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

SummarySeventy‐two patients with villous tumors of the rectum were included in the study (Table 2). The tumors ranged from 2 to 12 cm in greates dimension and were 4 to 15 cm from the anal verge. Fifty‐three patients had transanal excision of the lesions as a definitive treatment. The surgical technic is described. In three cases abdominoperineal resection was done for invasive carcinoma, and similar radical surgery was necessary for two extensive benign tumors which involved the entire circumference of the rectal wall.Of the 53 villous tumors removed by transanal excision, 34 were reported by the pathologist to be benign, and 19 showed superficial adenocarcinoma, with no microscopic evidence of invasion on serial sections. These tumors with carcinomain situwere considered clinically benign. The longest follow‐up period was 10 1/4 years. Five patients had recurrences, two to six years after operation. None of these necessitated radical surgery. Transanal excision of clinically benign villous tumors of the rectum is considered adequate definitive treatment.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

SummaryA review of 200 colostomies showed that the incidence of complications was 11 per cent. Prolapse was the most common complication. Indications for colostomy and factors resulting in complications are mentioned. Technics that may prevent or reduce the incidence of complications are briefly discussed.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

Summary and ConsclusionsOur study illustrates the variation in the severity of familial polyposis and the unpredictability of its course as found in members of related and unrelated families. After the onset of polyposis, the symptoms which emerge are dependent upon the rate of increase in the number and/or size of the adenomas and/or development of adenocarcinoma.Documented cases of familial diffuse polyposis which have had their onset (appearance of polyps) after the second decade of life are rare. In our studies of a limited number of affected families, onset of the disease in the first two decades of life was common; while of those who failed by examination to show the onset of polyposis in the first and second decades of life and who had follow‐up studies extending into the third and fourth decades, none was found to manifest the disease.In all reported studies, including ours, too few members of affected families have been examined throughout consecutive decades of life, especially during the second, third, and fourth, to determine the time of onset of familial polyposis. Beyond the “teen‐age,” each additional decade of freedom from the onset of familial polyposis greatly increases the probability that a member of an affected family has escaped the inherited disease. An affected member cannot be assured that he is free of the risk of recurrence of polyps and/or development of adenocarcinoma so long as he retains any remnant of the large intestine.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

SummaryA case of a dermoid cyst of the rectovesical space which might have been developmental in origin or a result of implantation of dermal tissue at the time of hemorrhoidectomy 30 years previously is reported. The cyst was excised, but the patient subsequently had difficulty with defecation due to disturbance of an already‐deficient right pelvic floor.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID