(结直肠癌。哪些因素对术后并发症的发生起决定性作用?

C Tonus, O Keller, R Kropp, H Nier
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引用次数: 4

摘要

本回顾性研究分析了不同因素对发病率和死亡率的影响,基于选定的,主要是切除结肠癌手术(n = 222)。总的来说,我们12.2%的手术是在紧急情况下进行的。并发症总发生率为31.5%,病死率为7.7%。左侧半结肠切除术致死率最高(48.4%),直肠截肢致死率最高(11.8%)。肿瘤分期、肿瘤分化和患者性别对术后发病率和死亡率无显著影响。然而,已证明患者的年龄、肿瘤的位置、合病、手术时间和手术条件(急诊或选择性)与发病率和死亡率之间存在相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Colorectal carcinoma. Which factors are decisive for development of postoperative complications?].

This retrospective study analyses the prognostic effect of different factors on morbidity and lethality based on selected, primarily resecting colon carcinoma operations (n = 222). In all, 12.2% of our operations were performed under emergency conditions. The total complication rate was 31.5%, the lethality rate 7.7%. The left hemicolectomy cases showed the highest morbidity (48.4%), the rectum amputation the highest lethality (11.8%). Tumour staging tumour differentiation and the sex of the patient showed no significant influence on the postoperative morbidity and lethality. However, a correlation was proved between the age of the patient, tumour localisation, co-morbidity, duration of operation and the conditions under which the operation was performed (emergency or elective), on the one hand, and morbidity and lethality on the other.

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