ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;No statistically valid experience has been reported to date for comparison with published reports following resection to substantiate the claim that fulguration can locally control clinically infiltrating rectal cancer as effectively as does resection.The assertion that permanent cure for patients with regional nodal metastases following abdominoperineal resection is so low that it fails to compensate for the operative mortality applied to the entire group was not found to be true when applied to the entire series or to those less than 70 years of age.The assertion appears true with regard to patients 70 years old or older who had low‐lying lesions when restricted to an analysis of only those with regional metastases. The proper treatment of clinically infiltrating cancer in the rectum in patients more than 70 years old remains unsettled. Many factors—size and location of the tumor, mental and physical abilities of the patient, decisions of the patient and his family after frank discussion of the advantages and disadvantages of the methods available—must be evaluated thoughtfully in each instance

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;From 1950 to 1964 a total of 1,561 patients and from 1965 to 1973 a total of 793 patients with carcinoma of the colon and rectum were treated. Twenty‐nine patients had rectal carcinoma and were treated by local extirpation or diathermy destruction from 1950 to 1973.During the years studied the p roportions of patients more than 70 years old increased to 51 per cent (carcinoma of the colon) and 47 per cent (carcinoma of the rectum) From 1965 to 1973 the resectability rates were 62 per cent (carcinoma of the colon) and 64 per cent (carcinoma of the rectum) in elderly patients and 79 and 66 per cent, respectively, in younger patients. In both periods mortality in patients more than 70 years old remained two to three times higher than mortality in younger patients. The previous markedly increased mortality after resection/extirpation of the rectum in patients more than 75 years old decreased significantly from 36 to 15 per cent. Five‐year survival in elderly patients discharged from the hospital after resection or extirpation was less than in the young, but comparison with figures for the general population showed reductions in life expectancy of about 40 per cent after carcinoma of the colon and rectum for both young and old patients. Operative mortality after local treatment of rectal carcinoma was low, but we achieved a five‐year survival rate of 29 per cent only in patients with tumors of Dukes' type A, less than half the survival rate after radical treatment. It is concluded that local treatment is not a satisfactory alternative to radical treatment, unless we are convinced that major surgery or permanent colostomy will severely reduce the quality of life.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;The pathologic changes which attend sclerodermatous involvement of the colon suggest that stercoral ulceration associated with spontaneous perforation may be a common accompaniment. However, this is a triad rarely encountered. The authors describe two such cases and discuss the diagnosis, pathologic anatomy and management of patients with stercoral ulceration and bowel perforation, particularly when associated with scleroderma.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;Evaluation of the efficacy of the neomycin‐erythromycin combination as prophylaxis before operation for carcinoma of the colon (3 g of each the day preoperatively, plus mechanical cleansing) was carried out in a study of 28 patients for whom primary operations for colonic carcinoma were performed January through June 1973; 11 others received other preparation. Mean age of the 28 patients was 68 years; 20 were men. Thirteen had sigmoid carcinomas; 23 lesions were resectable, using no‐touch isolation technique. There was no postoperative infectious complication. Of the other 11 patients, two had significant infections postoperatively.Although operability, age, concurrent medical problems, and surgical technique probably influence postoperative sepsis, the neomycin‐erythromycin combination appears satisfactory for prevention of infection after operations for colonic carcinoma.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID