The return to Coree: the surgical connection.

Samuel Wilson purchased Coree in 1865. In 1874 he donated 30000 pound sterling to Melbourne University to build the Wilson Hall, used for ceremonial occasions including medical graduation. Samuel McCaughey purchased Coree in 1881.

Surgery for large bowel cancer in people aged 75 years and older.

Three hundred ten predominantly male patients who were 75 years of age or older and had surgery for colorectal carcinoma had a hospital mortality rate of 9 percent and a cancer-related five-year survival of 50 percent. These results and a detailed analysis of the causes of complications and mortality were compared with the outcome of 710 patients who were treated concurrently and who were younger than 75 years. Tumors in older patients had a tendency to occur on the right side and were more locally advanced.

An evaluation of the American Joint Committee (pTNM) staging method for cancer of the colon and rectum.

This study, using prospective data, compares the survival of 1011 patients who had a colorectal cancer resected at Concord Hospital between 1971 and 1983. The results are expressed both in terms of Australian clinicopathologic (CP) staging and the modified pTNM method proposed by the American Joint Committee for Cancer Staging and End Results reporting. The aim of the study was to determine which of the two staging methods gave the better guide to prognosis.

A multivariate analysis of clinical and pathological variables in prognosis after resection of large bowel cancer.

Data on 709 patients who had a resection for colorectal carcinoma at Concord Hospital between 1971 and 1980 were studied to determine the independent effects on survival of several patient characteristics and pathological variables using the Cox regression model. Clinicopathological stage had the strongest association. Other variables ranked according to their relative importance independent of stage were: histological grade, level of direct spread, the presence of venous invasion, age and sex of the patient and the presence of obstruction.

The relationship between different staging methods and survival in colorectal carcinoma.

A routine clinicopathologic (CP) staging system for patients who have had surgical resection for colorectal carcinoma was established at Concord Hospital in 1971. Research on this prospective series of resections has evaluated the CP staging system as a guide to prognosis. The aim of this study was to compare the CP system with the classic Dukes' staging system and its modified form introduced by Astler and Coller to determine which method provided the most accurate basis for prognosis.

A postmortem appraisal of a clinicopathologic staging system in large-bowel cancer.

The autopsy findings of 100 patients who had a resection for large-bowel cancer and who were classified by a clinicopathologic staging system were analyzed. Seventy patients had carcinoma at autopsy. The value of this method of staging was assessed by relating the stage at operation to these findings.

Urological complications following abdominoperineal excision of the rectum for carcinoma.

A retrospective study was made of 122 patients who had an abdominoperineal excision (APE) of the rectum for carcinoma at Concord Hospital between 1971 and 1979. Fifty-two percent of patients suffered one or more significant urological complications. These included urinary tract infection (32%), operative trauma to the urinary tract (8.

A two limb side-to-side reservoir for the continent ileostomy: an experiment study in dogs.

A simple side-to-side terminal ileal reservoir was constructed proximal to a continent nipple valve in five dogs using the gastrointestinal anastomosis autosuture stapling device. The reservoir was found to dilate and was able to accommodate large volumes with minimal rise in basal pressure.

Mortality, morbidity and survival after colectomy for colon cancer.

Between 1971 and 1980, 346 patients had a carcinoma of the colon resected. Seventy-seven patients had an urgent operation with a hospital mortality of 13.3%; 269 patients had an elective operation with a mortality of 3.

Local recurrence following curative resection for carcinoma of the rectum.

One hundred ninety-three patients had curative resections for carcinoma of the rectum between January 1971 and December 1979. Nineteen patients developed local recurrence (9.8 per cent): 5/95 after abdominoperineal excision (5.

Diverticular disease: a retrospective study of surgical management 1970-1980.

At Concord Hospital during the period 1970-1980, there were 2,530 admissions for diverticular disease. One hundred and twenty nine patients required operative treatment, 80 patients had a 'planned' resection and of the 56 patients admitted with peritonitis, 49 came to operation. The hospital mortality following resection was 7.

Experiments in the development of a continent ileostomy: a simplified technique without a reservoir in dogs.

A continent ileostomy without a reservoir was constructed in five dogs with minimal morbidity and mortality rates. The technique involved constructing a continent valve by retrograde intussusception of 8 cm of the terminal ileum, which was then exteriorized as an end ileostomy. The terminal ileum was emptied every 2 hours in the first week, 4 hours in the second week, 6 hours in the third week, and every 8 hours thereafter.

Elective resection for diverticular disease and carcinoma. Comparison of postoperative morbidity and mortality.

A retrospective comparison was made of 47 patients who underwent elective surgical resection for diverticular disease and 106 patients who had sigmoid colectomy or left hemicolectomy for carcinoma over an eight and one-half-year period. There was higher morbidity and mortality in those patients with diverticular disease.