This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (25)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Comparative Study of Staged and Primary Resection

Lica Vigder, MD; Nathan Tzur, MD; Menahem Huber, MD; Muhamad Mahagna, MD; Israel Amir, MD

Arch Surg. 1985;120(7):825-828.

Abstract
• Of 82 patients who had obstructing cancer of the left colon, 22% had incurable disease and 36.5% had advanced cancer at presentation. All methods of treatment carried a high morbidity and mortality. The mean survival rate with palliative operations was 8.7 months. Twenty-four poor-risk patients treated with staged operations had a 25% operative mortality and a 20.8% five-year survival rate. Forty primary resections, with or without anastomosis, were followed by a 27.5% operative mortality and by more than a twofold five-year survival rate (47.5%) compared with that of staged resection. These results suggest that delay of cure may reduce the late survival rate and justify primary resection as the operation of choice in selected good-risk patients.

(Arch Surg 1985;120:825-828)

Author Affiliations
From the Department of Surgery B, Central Emek Hospital, Afula, Israel.

Footnotes
Accepted for publication Nov 8, 1984.

Reprints not available.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Emergency Surgery for Colon Cancer in the Aged
Koperna et al.
Arch Surg 1997;132:1032-1037.
ABSTRACT