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Operative mortality in carcinoma of the rectum

Results of the German Multicentre Study

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Abstract

An analysis of operative mortality for carcinoma of the rectum in the German Study Group Colo-Rectal Carcinoma (SGCRC) comprising 1115 operated patients, found a total operative mortality rate of 4.3% and a 30-day-mortality rate of 2.8%. Advanced age, severe concurrent disease, anastomotic leakage in anterior resections and institution were found to be factors with independent significant influence. In anterior resections, especially low anterior resections, with protective enterostomy, the lower rates of anastomotic leakage and mortality emphasize the advantages of protective enterostomy.

Résumé

Une analyse de la mortalité opératoire pour cancer du rectum dans le groupe allemand de cancers colorectaux (SGCRC), comprenant 1115 patients opérés, a trouvé un taux total de mortalité opératoire de 4,3% et un taux de mortalité à 30 jours de 2,8%. L'âge avancé, des maladies associées sévères, une fuite anastomotique dans les résections antérieures et le lieu de traitement ont été trouvés comme étant les facteurs avec une influence significative indépendante. Dans les résections antérieures, spécialement dans les résections antérieures basses, avec entérostomie de protection, les taux les plus bas de fuite anastomotique et de mortalité mettent en évidence les avantages de l'entérostomie de protection.

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Authors and Affiliations

  1. Department of Surgery, University of Erlangen, Germany

    H. Kessler

  2. Department of Surgery, University of Regensburg, Germany

    P. Hermanek Jr.

  3. Department of Epidemiology, German Cancer Research Center, Heidelberg, Germany

    H. Wiebelt

  4. Maximiliansplatz, Chirurgische Universitätsklinik, D-91023, Erlangen, Germany

    H. Kessler

Authors
  1. H. Kessler
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  2. P. Hermanek Jr.
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  3. H. Wiebelt
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Additional information

For the Study Group Colo-Rectal Carcinoma (SGCRC), see Annex

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Kessler, H., Hermanek, P. & Wiebelt, H. Operative mortality in carcinoma of the rectum. Int J Colorect Dis 8, 158–166 (1993). https://doi.org/10.1007/BF00341191

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  • DOI: https://doi.org/10.1007/BF00341191

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