Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1978 May;187(5):549–554. doi: 10.1097/00000658-197805000-00014

Reassessment of intraoperative decisions: why operations for cancer of the large bowel fail.

C O Knutson, D E Fry, R D Barbie, H C Polk
PMCID: PMC1396552  PMID: 646494

Abstract

A program developed for the intraoperative judgement decisions commonly faced in cancer of the colon and rectum has been published and has been found to correlate frequently with the management carried out in a cancer hospital and on the ward services of university programs in city/county and Veterans Administration hospitals. Those patients whose management varies with the recommendations of the program are subject to statistically significant excess risk of dying in the hospital and excess risk of failure of ultimate control of their malignant process. It is our opinion that this program is not only useful in demonstrating the explicit nature of surgical judgement but is also useful to the operating surgeon as an indication for the need for consultation or reassessment of his obwervations.

Full text

PDF
549

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baughman B. B., Knutson C. O., Ahmad W., Jones C. E., Polk H. C., Jr The surgical treatment of carcinoma of the colon and rectum: an index of quality care and sociologic and geographic distribution. Ann Surg. 1976 May;183(5):550–555. doi: 10.1097/00000658-197605000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Fielding P., Dudley H. Letter: Computer logic programs. Surgery. 1975 May;77(5):730–731. [PubMed] [Google Scholar]
  3. Knutson C. O., Watson F. R. Preliminary results of a computer logic program for the operative management of colon cancer. Surgery. 1974 Aug;76(2):298–308. [PubMed] [Google Scholar]
  4. POLK H. C., Jr, SPRATT J. S., Jr, BENNETT D., COPHER G. H., BUTCHER H. R., Jr SURGICAL MORTALITY AND SURVIVAL FROM COLONIC CARCINOMA. Arch Surg. 1964 Jul;89:16–23. doi: 10.1001/archsurg.1964.01320010018003. [DOI] [PubMed] [Google Scholar]
  5. Polk H. C., Jr Extended resection for selected adenocarcinomas of the large bowel. Ann Surg. 1972 Jun;175(6):892–899. doi: 10.1097/00000658-197206010-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Ravitch M. M. Editorial: A computer logic program in the operating room. Surgery. 1974 Aug;76(2):202–203. [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES