1977
DOI: 10.1007/bf01267991
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Analyse der postoperativen Todesf�lle beim Colon- und Rectumcarcinom

Abstract: 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% … Show more

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Cited by 4 publications
(4 citation statements)
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References 14 publications
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“…Postoperative complications differed from department to department, and departments performing delayed tumor resection in emergency cases had better overall results. In another study of 200 deaths following surgery for colorectal cancer [8], pneumonia (24.5%) was found to be the most common cause of death and this was followed by peritonitis (22%), pulmonary embolism (15.5%), advanced tumor stage (14%) and cardiac failure (9.5%). Non-surgical causes of death thus seem to be more common [2,7,8] than causes of death directly related to the surgery itself.…”
Section: Discussionmentioning
confidence: 97%
See 1 more Smart Citation
“…Postoperative complications differed from department to department, and departments performing delayed tumor resection in emergency cases had better overall results. In another study of 200 deaths following surgery for colorectal cancer [8], pneumonia (24.5%) was found to be the most common cause of death and this was followed by peritonitis (22%), pulmonary embolism (15.5%), advanced tumor stage (14%) and cardiac failure (9.5%). Non-surgical causes of death thus seem to be more common [2,7,8] than causes of death directly related to the surgery itself.…”
Section: Discussionmentioning
confidence: 97%
“…In another study of 200 deaths following surgery for colorectal cancer [8], pneumonia (24.5%) was found to be the most common cause of death and this was followed by peritonitis (22%), pulmonary embolism (15.5%), advanced tumor stage (14%) and cardiac failure (9.5%). Non-surgical causes of death thus seem to be more common [2,7,8] than causes of death directly related to the surgery itself. In the present study 20% of patients developing pulmonary embolism and nearly 50% of patients suffering myocardial infarction, congestive heart failure, stroke, and ARDS died during the postoperative period.…”
Section: Discussionmentioning
confidence: 97%
“…Knowledge of the incidence and risk factors for specific disease entity may improve knowledge of mortality and morbidity risks associated with a particular pathology and surgery. Therefore, special attention is needed to identify peculiar characteristics of EPSBO after colectomy for cancer, considering that EPSBO may be a contributor for increasing the mortality risk after colectomy [8]. However, to date, there has been only limited information on crude features of EPSBO after colectomy [2, 4, 7].…”
Section: Discussionmentioning
confidence: 99%
“…In particular, early postoperative small bowel obstruction (EPSBO) developing within 4 weeks following surgery [8, 9] has been associated with increased hospital stays, postoperative adjuvant treatment delays, and mortality [10, 11]. Nevertheless, little information is available regarding EPSBO other than the facts that it has a reported incidence of approximately 7% after a proctectomy [12, 13] and that rectal surgery and poor systemic conditions contribute to the risk of EPSBO [12, 13].…”
Section: Introductionmentioning
confidence: 99%