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A Review of Results of Surgical Treatment in 164 Patients

Don R. Miller, MD; Frank F. Allbritten, Jr, MD

Arch Surg. 1976;111(6):692-696.

Abstract
• This report is a retrospective review of the authors' experience with colonic and rectal carcinoma in 164 patients from 1954 to 1968 with a five-year follow-up. The operative approach utilized principles of early vascular isolation, wide-colon and mesenteric resection, and minimal tumor manipulation in curative operations; palliative procedures were aggressively employed.

Of the 164 patients, 104 with lesions almost equally divided between colon and rectum had resections with curative intent. The overall five-year survival rate after curative resection was 55%, and included eight hospital deaths that were usually related to cardiopulmonary complications. Lymph node involvement appreciably decreased the survival rate from 72% without node involvement to 39% with node involvement. Patients with rectal lesions experienced more favorable results than those with colonic lesions. Palliative procedures in 46 patients enhanced comfort, but few patients survived longer than one year. Wound and anastomotic complications were infrequent.

(Arch Surg 111:692-696, 1976)

Author Affiliations
From the Department of Surgery, University of Kansas, School of Medicine, Kansas City. Dr Miller is now with the University of California, Irvine, and Dr Allbritten is residing in Cunningham, Kan.

Footnotes
Accepted for publication Feb 12, 1976.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 18, 1976.

Reprint requests to Department of Surgery, University of California School of Medicine, Irvine, CA 92717 (Dr Miller).

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