Pelvic Recurrence after Excision of Rectum for Carcinoma
Pelvic Recurrence after Excision of Rectum for Carcinoma
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直肠癌切除后盆腔复发
DOI：
10.1136/bmj.2.5348.13
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发表时间：
1963
影响因子：
--
通讯作者：
H. Bussey
中科院分区：
文献类型：
--
作者：
B. Morson;E. Vaughan;H. Bussey
并不具有恢复的性质。此外，所有这些手术都是“根治性的“，因为在每一种情况下，外科医生都认为原发性肿瘤和所有已知的转移瘤已经完全切除。姑息切除术。这些包括外科医生认为生长已被留下的切除型手术，主要是因为局部切除不完全或因为存在肝转移。在1928年至1952年期间，有200名手术幸存者在这组。前切除术。在1948年至1957年的10年期间，前切除术后有217名幸存者。其中，177例为上文定义的“根治性“，40例为“姑息性“。由于存在肝转移，本组手术几乎总是姑息性的。对所有这些患者进行随访的尝试在98.5%的病例中取得了成功。大约一半的病人继续定期到门诊部就诊，因此得到了有经验的善后护理。其余的人通常住在离伦敦相当远的地方，他们一年两次写信询问。当死亡发生在没有最近在圣马克医院检查的情况下时，要求当地医生对死亡原因发表意见。显然，只有对每一个病例进行彻底的尸检，才能毫无疑问地确定是否有复发，而这只在极少数病人中是可能的。
were not of a restorative nature. Moreover, all these operations were " radical " in the sense that in each case it was thought by the surgeon that the primary growth and all known metastases had been completely removed. Palliative Excisions.-These include those operations of the excision type in which the surgeon was of the opinion that growth had been left behind, mostly because of incomplete local excision or because of the presence of hepatic metastases. During 1928-52 there were 200 operation survivors in this group. Anterior Resection.-There were 217 survivors after anterior resection during the 10-year period 1948-57. Of these, 177 were " radical " and 40 " palliative " as defined above. In this group the operations were nearly always palliative because of the presence of hepatic metastases. The attempt to follow up all these patients has been successful in 98.5% of the cases. Approximately half the patients continued to attend the out-patient department at regular intervals and thus received experienced aftercare. The remainder, usually living at a considerable distance from London, were followed up by means of biannual questionary letters. When death occurred in the absence of recent examination at St. Mark's Hospital, the opinion of the local practitioner on the cause of death was requested. Obviously only a thorough post-mortem examination in each case could establish beyond doubt whether or not there was a recurrence, and this was possible in only a very few patient.s.