Mortality in patients with obstructing colorectal cancer.

Abstract:

:Of 1,033 patients with colorectal carcinoma, 238 (23%) presented with obstruction. The majority of tumours (74%) were potentially curable (Dukes B/C) at presentation. Tumours situated at the splenic flexure, transverse or descending colon were most likely to obstruct. Perioperative mortality was high following either primary resection (31%) or fashioning of a defunctioning stoma alone (25%) but was twice as high (40%) in patients over 70 than those under 70 (20%). Cardiorespiratory complications accounted for 55% of this mortality, while fatal technical complications occurred in 19%. Sixty seven patients (28%) had two operations, 51 patients (21%) had three operations.

journal_name

Ann R Coll Surg Engl

authors

Waldron RP,Donovan IA

subject

Has Abstract

pub_date

1986-07-01 00:00:00

pages

219-21

issue

4

eissn

0035-8843

issn

1478-7083

journal_volume

68

pub_type

杂志文章
  • Pulmonary staging in colorectal cancer--is computerised tomography the answer?

    abstract:INTRODUCTION:Pulmonary staging in colorectal cancer (CRC) has traditionally been carried out by means of plain chest radiograph (CXR), although computerised tomography (CT) imaging of the chest is increasingly being performed for this purpose. The aim of this study was to assess the value of pre-operative thoracic CT f...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588405X60579

    authors: McIntosh J,Sylvester PA,Virjee J,Callaway M,Thomas MG

    更新日期:2005-09-01 00:00:00

  • Dangers of placement of narrow bore nasogastric feeding tubes.

    abstract::Three complications of the use of narrow bore nasogastric feeding tubes are described. Clinical tests to determine correct placement are noted to be unreliable and the importance of radiological confirmation is stressed. A number of suggestions are made for safe use of these tubes. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Biggart M,McQuillan PJ,Choudhry AK,Nickalls RW

    更新日期:1987-05-01 00:00:00

  • The efficiency of management of emergency surgery in a district general hospital--a prospective study.

    abstract::In a 6-month prospective study of management of surgical emergencies in a district general hospital, we have tried firstly to determine the degree to which non-life-threatening emergencies could be managed within 'social hours' (0800-1800), and secondly to identify examples of and reasons for potentially hazardous del...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Flook DJ,Crumplin MK

    更新日期:1990-01-01 00:00:00

  • Vascular surgery: the European perspective.

    abstract::Isaac Newton, among others, observed that 'we see so far because we are standing upon the shoulders of giants'. In vascular surgery most of the giants have been European, and this is a heritage which we as Europeans can take pride in and build upon if we chose to do so. As in other areas of life, commitment is essenti...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 历史文章,杂志文章

    doi:

    authors: Harris P

    更新日期:1999-09-01 00:00:00

  • Acute adrenal insufficiency presenting as high output ileostomy.

    abstract::We report a patient with ulcerative colitis who, in the period following surgery, developed recurrent episodes of acute adrenal insufficiency presenting clinically as a high output ileostomy. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588403321219876

    authors: Rai S,Hemingway D

    更新日期:2003-03-01 00:00:00

  • Neonatal compartment syndrome.

    abstract::A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necroti...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0159

    authors: Martin B,Treharne L

    更新日期:2016-09-01 00:00:00

  • Prostate abscess: a rare complication of brachytherapy for prostate cancer.

    abstract::Brachytherapy involves the therapeutic implantation of a radio-active seed source into, or close to, prostate cancer. We report the rare case of a 76-year-old man who presented with a prostate abscess after months of intractable pelvic pain following prostate cancer treatment with iodine-125 brachytherapy. Despite mul...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870809X400985

    authors: Gilmore PE,Baird AD,Javle PM

    更新日期:2009-05-01 00:00:00

  • Adjuvant chemotherapy for colorectal cancer.

    abstract::Colorectal cancer is the second most common cancer in the Western world, and yet the survival after potentially curative excisional surgery has improved little over the last half century. Newer tumour prognostic markers are not superior to conventional Dukes' staging and there are currently no markers which predict re...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:

    authors: Rayter Z,Leicester RJ,Mansi JL

    更新日期:1995-03-01 00:00:00

  • Neuroendocrine tumour arising inside a tailgut cyst.

    abstract::Tailgut cysts are rare benign retrorectal cysts arising from persistent remnants of an embryonic hindgut. Malignant transformation inside this lesion is very uncommon and occurrence of neuroendocrine tumours in this context is extremely rare. We report the case of a 56-year-old woman who underwent surgical excision of...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0362

    authors: Mora-Guzmán I,Alonso-Casado A,Rodríguez Sánchez A,Bermejo Marcos E

    更新日期:2017-02-01 00:00:00

  • Haemorrhagic complications of pancreatitis: presentation, diagnosis and management.

    abstract::Massive haemorrhage is an uncommon complication in pancreatitis. Most affected patients suffer from chronic disease with associated pseudocyst. We present five patients (four male) with a mean age of 41 years (range 34-48 years). All patients had alcohol-induced pancreatitis complicated either by haematemesis (3), int...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ammori BJ,Madan M,Alexander DJ

    更新日期:1998-09-01 00:00:00

  • Parathyroid hormone-related protein, bone metastases and hypercalcaemia of malignancy.

    abstract::Breast cancer patients frequently develop bone metastases. A newly discovered peptide, Parathyroid Hormone Related Protein (PTHrP), causes humoral hypercalcaemia of malignancy. We have studied whether production of this protein by breast cancers leads to the development of bone metastases or hypercalcaemia. PTHrP was ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Bundred NJ,Walls J,Ratcliffe WA

    更新日期:1996-07-01 00:00:00

  • Emergency surgery: half a day does make a difference.

    abstract::The emergency operating patterns in a district general hospital were significantly altered by the introduction of an afternoon emergency theatre list co-ordinated by a consultant anaesthetist. Before the introduction of the list, 88% of emergency operations were carried out after 17.00, with 40% of cases waiting until...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lovett BE,Katchburian MV

    更新日期:1999-01-01 00:00:00

  • Management of massive lower limb plexiform neurofibromatosis--when to intervene?

    abstract::Massive plexiform neurofibromatosis is an uncommon manifestation of Type 1 neurofibromatosis. These tumours result in functional disability and severe disfigurement. Due to the variable natural history od these lesions, the optimal management is not well defined and surgery is often delayed until significant disfigure...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870807X238230

    authors: Power KT,Giannas J,Babar Z,McGrouther DA

    更新日期:2007-11-01 00:00:00

  • When might an operative complication be regarded as acceptable? Part 2: Judicial factors that influence the finding of fault during surgical litigation.

    abstract::In cases where surgeons face litigation over operative misadventure, the result of a trial is uncertain. In order to identify factors in cases of surgical litigation that have influenced the final decision of the courts, we have previously reviewed reported cases where the outcome turned on actions taken by surgeons. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588414X14055925060992

    authors: Wheeler R,Blackburn S,Biggs H

    更新日期:2015-04-01 00:00:00

  • Antiseptic toxicity to breast carcinoma in tissue culture: an adjuvant to conservation therapy?

    abstract::Of 50 patients who had scrape cytology of the excision cavity after conservative surgery for breast carcinoma, 10 (20%) had malignant cells remaining in the cavity recognised by cytology. Of these patients, 18 had histological evidence of tumour at the resection margin, giving an accuracy of the cytology of 84%, a sen...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lucarotti ME,White H,Deas J,Silver IA,Leaper DJ

    更新日期:1990-11-01 00:00:00

  • Presentation and management of perirectal sepsis.

    abstract::Perirectal sepsis is a potentially severe complication which may follow minor anorectal intervention and be slow to be diagnosed and treated. We report the presentation and outcome of three patients with perirectal sepsis of differing aetiologies. Awareness of the possible diagnosis, urgent investigation with cross-se...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870808X303047

    authors: Aldouri AQ,Alexander DJ

    更新日期:2008-07-01 00:00:00

  • Long-term follow-up of the use of the Jones' intestinal tube in adhesive small bowel obstruction.

    abstract:INTRODUCTION:Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS:A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identifi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X358999

    authors: Fazel MZ,Jamieson RW,Watson CJ

    更新日期:2009-01-01 00:00:00

  • Congenital diaphragmatic hernia causing cardiac arrest in a 30-year-old woman.

    abstract::Congenital diaphragmatic hernia (CDH) usually presents in infancy with respiratory failure requiring urgent surgical correction. Mortality in this group of patients remains poor and persistent pulmonary hypertension is a significant contributor. It is therefore rare for patients to reach adulthood undiagnosed. CDH is ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0345

    authors: Manson HJ,Goh YM,Goldsmith P,Scott P,Turner P

    更新日期:2017-02-01 00:00:00

  • Caustic ingestion injury of the upper aerodigestive tract in adults.

    abstract::Adult ingestion of caustic substances is an unusual but serious surgical problem, with injuries likely to be more extensive than those in the corresponding paediatric population. After initial stabilisation and airway management, clinicians are presented with a complex multisystemic problem, frequently requiring a mul...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588415X14181254789286

    authors: Rollin M,Jaulim A,Vaz F,Sandhu G,Wood S,Birchall M,Dawas K

    更新日期:2015-05-01 00:00:00

  • Intraductal papillary mucinous neoplasm of the oesophagus: an unusual case of dysphagia.

    abstract::We report the case of a 58-year-old woman presenting with dysphagia secondary to an intraductal papillary mucinous neoplasm arising from a heterotopic pancreas in the oesophageal wall. This was successfully treated with a laparoscopic/thoracoscopic ivor Lewis oesophagectomy. Dysphagia is the most common symptom of oe...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13171221589090

    authors: Crighton E,Botha A

    更新日期:2012-03-01 00:00:00

  • Sending NHS patients for operations abroad: is the holiday over?

    abstract:INTRODUCTION:The UK Department of Health, in its attempt to help NHS trusts reduce long elective waiting lists, set up the overseas commissioning scheme in 2002. This allowed hospitals to send their patients abroad for their surgery. In theory, this was a win-win situation, where pressures upon surgeons were reduced, a...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X359411

    authors: Hanna SA,Saksena J,Legge S,Ware HE

    更新日期:2009-03-01 00:00:00

  • The changing practice of transurethral prostatectomy: a comparison of cases performed in 1990 and 2000.

    abstract:OBJECTIVES:Transurethral resection of the prostate (TURP) is considered by many to be the 'gold standard' treatment for benign prostatic enlargement. However, with the relatively recent introduction of pharmacological and other surgical treatment modalities, the performance of TURP appears to be in decline. METHODS:A ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870804731

    authors: Wilson JR,Urwin GH,Stower MJ

    更新日期:2004-11-01 00:00:00

  • Population-based observational study of acute pancreatitis in southern England.

    abstract:INTRODUCTION:Acute pancreatitis is a common surgical emergency. Identifying variations in presentation, incidence and management may assist standardisation and optimisation of care. The objective of the study was to document the current incidence management and outcomes of acute pancreatitis against international guide...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2019.0055

    authors: PanWessex Study Group.,Wessex Surgical Trainee Research Collaborative.,Mirnezami A,Knight B,Moran B,Noble F,Branagan G,Primrose J,Pearson K,West M,Curtis N,Pucher P,Cuttress R,Pugh S,Underwood T

    更新日期:2019-09-01 00:00:00

  • Artificial Intelligence in plastic surgery: What is it? Where are we now? What is on the horizon?

    abstract:INTRODUCTION:An increasing quantity of data is required to guide precision medicine and advance future healthcare practices, but current analytical methods often become overwhelmed. Artificial intelligence (AI) provides a promising solution. Plastic surgery is an innovative surgical specialty expected to implement AI i...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2020.0158

    authors: Murphy DC,Saleh DB

    更新日期:2020-10-01 00:00:00

  • Lymph node ratio as a prognostic marker of oral tongue squamous cell carcinoma: a cohort study.

    abstract:INTRODUCTION:Lymph node metastasis is a poor prognostic indicator and is well established in tongue squamous cell carcinoma. Based on the current staging system, accurate risk stratification is difficult. There is thus a need to evaluate an alternate method for predicting recurrence and survival. The objective of the s...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2020.0173

    authors: Iftikhar H,Rozi S,Zahid N,Awan MS,Nathani KR

    更新日期:2020-11-01 00:00:00

  • Is an outpatient appointment required for patients referred for a minor operation under local anaesthetic?

    abstract::The necessity of an outpatient (OP) consultation for patients referred for minor surgery under local anaesthetic (LA) was examined. Two separate prospective studies were performed. The first comprised 107 patients referred for minor surgery, who were assessed in the outpatient department (OPD), before being booked for...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Johnson RC,Pullan RD,Hedges AR,Stamatakis JD

    更新日期:1996-09-01 00:00:00

  • Management of iatrogenic full thickness electrical burn in a preterm neonate using W-plasty technique combined with a median sternotomy incision.

    abstract::Burns in the neonatal period are rare and most commonly due to iatrogenic causes. We report a case of a preterm neonate who sustained a full thickness electrical burn following the use of a temporary pacing pad. The case was complicated by significant co-morbidities and the need for cardiac surgery. We describe the s...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13373405387212

    authors: Chipp E,Duncan H,Papini R

    更新日期:2012-11-01 00:00:00

  • Free rib graft reconstruction of the mandible: a forgotten option?

    abstract::Eleven patients underwent primary mandibular reconstruction following resection of a head and neck squamous cell carcinoma. Reconstruction consisted of a free rib graft and a pectoralis major myocutaneous flap. One rib graft failed and one graft, although successful, required removal during a wider resection for tumou...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Banerjee AR,Westmore GA

    更新日期:1995-07-01 00:00:00

  • Patient satisfaction with the use of an enhanced recovery programme for primary arthroplasty.

    abstract:INTRODUCTION:Enhanced recovery programmes (ErPs) are increasingly being used for arthroplasty. One of the core aims of an ErP is to improve the quality of patient experience. However, there is currently no published evaluation of patient satisfaction in relation to this new programme of care within orthopaedic surgery....

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413x13781990150293

    authors: Machin JT,Phillips S,Parker M,Carrannante J,Hearth MW

    更新日期:2013-11-01 00:00:00

  • The non-ischaemic blue finger.

    abstract::Finger discoloration may result from recognized conditions affecting upper limb vasculature. We describe 11 patients who presented with acute pain, swelling and blue/purple discoloration in a finger. This benign condition mimicked digital ischaemia. There were 9 women and 2 men. The episode usually started with an ach...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Khaira HS,Rittoo D,Vohra RK,Smith SR

    更新日期:2001-05-01 00:00:00