[Selection of the treatment method in rectal cancer].

Abstract

From 1956 to 1982, 4126 patients suffering from rectal cancer underwent surgery, 3229 of them had radical operations. The total postoperative mortality rate came up to 7.1% (n = 295) in the radical operated group it was 6.6% (n = 214). Between 1956 to 1982 continence preserving surgical procedures were constantly on the increase 1956: 46.4%, 1982: 66.8%). In 160 patients who underwent exstirpation of the rectum with final colostomy a closing magnetic device was implanted around the colostomy. 40 patients who underwent a rectal pull through had a myoplastic operation to substitute a new anal sphincter using a portion of the adductor longus femoris muscle. Preoperative X-ray therapy (2000-3000 rad in 5 days) in 217 patients with rectal carcinoma yielded no significant improvement of the 5 years survival rate.

• Authors: V D Fedorov
• Journal: Zentralblatt fur Chirurgie (Zentralbl Chir) Vol. 110 Issue 2-3 Pg. 98-107 ( 1985) ISSN: 0044-409X [Print] Germany
• Vernacular Title: Die Auswahl der Behandlungsmethode beim Rektumkarzinom.
• PMID: 3984560 (Publication Type: English Abstract, Journal Article)

Topics

• Colostomy
• Combined Modality Therapy
• Fecal Incontinence (prevention & control)
• Humans
• Postoperative Complications (mortality)
• Prognosis
• Prostheses and Implants
• Rectal Neoplasms (mortality, surgery)
• Rectum (surgery)
• Surgical Flaps