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本文复习了美国 Lahey Clinic 自1963年至1969年行直肠前切除术的腺癌病例,其他组织类型如粘液型或印戒细胞型癌均不在此内。152例中男86例(57%),女66例(43%),平均年龄62岁,1例失去随访,对生存者平均随访期超过80个月。本组根据 Dukes’氏分级,校正五年生存率为:A(49例)86.1%,B(45例)78.8%,C(39例)57.0%,D(19例)0.0%,总计72.8%。淋巴结尚未累及的校正五年生存率为77.9%,已累及淋巴结的为38.3%。有16例(10.5%)发生吻合口癌复发,其中8例行剖腹探查术,4例复发病
This article reviews the cases of adenocarcinoma undergoing rectal anterior resection from 1963 to 1969 at the Lahey Clinic in the United States. Other tissue types such as mucinous or signet-ring cell carcinoma are excluded. Of the 152 cases, 86 were male (57%) and 66 were female (43%). The average age was 62 years. One patient lost follow-up. The average follow-up period for survivors was more than 80 months. According to the Dukes’s classification, the adjusted five-year survival rate was 86.1% in A (49 cases), 78.8% in B (45 cases), 57.0% in C (39 cases), and 0.0% in D (19 cases), totaling 72.8% . The adjusted five-year survival rate for lymph node involvement was 77.9% and 38.3% for lymph nodes. Anastomotic cancer recurrence occurred in 16 cases (10.5%), of which 8 cases underwent laparotomy and 4 cases were relapsed.