Clinical Analysis of Preserving External Sphincter of Anus for 32 Cases of Anus Preservation Operation on Low Position Rectal Cancer_West China Medical Journal

Authors：

JIA Yingdong ¹ , YANG Zhaohui ²

Department of General Surgery,the Central Hospital of Suining City, Suining Sichuan 629000, China;

Corresponding?author：

Keywords：

低位直腸癌; 保肛手術

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目的:探討保留肛門外括約肌低位直腸癌保肛手術的應用。方法: 在全直腸系膜切除的基礎上,應用國產一次性管狀吻合器,對32例低位直腸癌行保留肛門外括約肌超低位結肛吻合,隨訪12～36個月。回顧性分析其根治性、術后排便功能、手術并發癥、局部復發率。結果: 全組病例術后病理檢查無切端癌殘留,無大便失禁,無吻合口漏;全組無手術死亡;腫瘤局部復發率9.4%(3/32)。結論: 低位直腸癌保留肛門外括約肌保肛手術,遵循腫瘤根治的原則下,能保留患者正常的肛門排便功能,明顯改善該類患者的生活質量。

Citation： JIA Yingdong,YANG Zhaohui. Clinical Analysis of Preserving External Sphincter of Anus for 32 Cases of Anus Preservation Operation on Low Position Rectal Cancer. West China Medical Journal, 2009, 24(8): 2128-2129. doi: Copy

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1. HEALD R J, RYALL ROH. Recurrence and survival after total mesorectal excision forrectal cancer[J].Lancent,1986,1:1479-1482.
2. RIDGWAY P F, DARZI A W. The role of total mesorectal excision in the management of rectal cancer[J].Cancer Control,2003,10(3):205.
3. PISO P, DAHLKE M H, MIRENA P, et al.Total mesorectal excision for middle and lower rectal cancer: a single institution experience with 337 consecution patients[J].J Surg Oncol,2004,86(3):115.
4. 金德,李林虎,李長鶴,等.應用吻合器行低位直腸癌保留肛門根治術5例[J].延邊大學醫學學報,2004,27(1):60.
5. 吳孟超,吳在德,主編.黃家駟外科學(中冊)[M].第7版.北京:人民衛生出版社,2008:1641.
6. RIDGWAY P F, DARZI A W. The role of total mesorectal excision in the management of rectal cancer[J].Cancer Control,2003,10(3):205-211.

West China Medical Journal

Clinical Analysis of Preserving External Sphincter of Anus for 32 Cases of Anus Preservation Operation on Low Position Rectal Cancer

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