An analysis of deaths caused by abdominoperineal resection

Levin, Irving A.; Owens, Richard R.

doi:10.1007/bf02589926

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…Ganz abgesehen davon ist das Schieksal der Kranken hinsichtlich ihrer Beschwerden auch durch die palliative Tumorresektion und -exstirpation entseheidend zu bessern [20]. Nur ffir vereinzelte Fiille mit besonders hohern Altersrisiko empfiehlt sich die lokale Tumorabtragung [4,11,13,191.…”

Section: Diskussionunclassified

Analyse der postoperativen Todesf�lle beim Colon- und Rectumcarcinom

Schulz

Drüner

Lang

1977

Langenbecks Arch Chiv

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Analysis of the clinical and autopsy reports of 200 deaths following surgery for colorectal cancer from 1956 to 1974, at the Dept. of Surgery, University of Heidelberg, revealed that pneumonia (24.5%) was the most common cause of death followed by peritonitis (22%), pulmonary embolism (15.5%), advanced tumor disease (14%), cardiac failure (9.5%), ileus (5.5%), and others (9%). The explanation for the postoperative mortality rate of 12% (cancer of colon) and 13.2% (cancer of rectum) lies in the fact that 82.5% of those who died postoperatively were beyond the age of 60, and 40.5% beyond 70 years at the time of surgery. Moreover, in 50.5% advanced tumors with regional and/or distant metastases were found. In 55.5% severe preoperative complications (ileus: 38%, peritonitis: 11%, abscess formation or hemorrhage: 6.5%) required an emergency operation. Only 38.5% of the procedures were considered for cure. Besides the need for early recognition of the cancer, intensification of pre- and postoper treatment appears to be the predominant task in the effort to decrease postoperative mortality.

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Section: Diskussionunclassified

Analyse der postoperativen Todesf�lle beim Colon- und Rectumcarcinom

Schulz

Drüner

Lang

1977

Langenbecks Arch Chiv

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Prophylactic inferior vena cava clipping in colonic surgery

Kusminsky

Medina

AbuRahma

et al. 1982

Diseases of the Colon &Amp; Rectum

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Incidental prophylactic inferior vena cava clipping (IVCC) has been used in 30 patients undergoing colonic operations. The results obtained compare quite favorably with other methods of preventing postoperative pulmonary embolism (PE). This procedure would be justified in patients with a postoperative PE risk greater than 5 to 10 per cent. Practical criteria to identify this group of patients are presented, and the value of utilizing a risk profile is emphasized. There is no mortality from the procedure itself, and the morbidity was limited to lower-extremity edema in three patients who otherwise could have been expected to develop PE. The edema lasted two months in one patient and cleared rapidly in the other two. Attesting to the procedure's effectiveness, there were no cases of recurrent PE. Caval partition is an appealing mode of prophylaxis in high-risk patients because of its safety, efficacy, and permanence.

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Review of literature on diseases of the colon and rectum

Rowe

Reinmiller

1973

Diseases of the Colon &Amp; Rectum

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An analysis of deaths caused by abdominoperineal resection

Cited by 5 publications

References 4 publications

Analyse der postoperativen Todesf�lle beim Colon- und Rectumcarcinom

Analyse der postoperativen Todesf�lle beim Colon- und Rectumcarcinom

Prophylactic inferior vena cava clipping in colonic surgery

Review of literature on diseases of the colon and rectum

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