摘要
目的 探讨全直肠系膜切除术在预防直肠癌术后局部复发中的作用 ,以及同该操作相关的一些并发症。方法 回顾性分析 16 8例直肠癌的临床资料。结果 全组无手术死亡 ,术后随访1～ 36月 ,局部复发 6例 (3.6 % ) ,术后吻合口漏 13例 (10 .7% ) ,多数保肛患者出现便频、便急等症状。结论 全直肠系膜切除术能有效降低直肠癌术后局部复发率 ,提高保肛率 ,但存在吻合口漏 ,控便功能等问题需进一步解决。
Objective To investigate the preventive effect of total mesorectal excision (TME) on local recurrence of rectal cancer after operation, and the complications related to TME. Methods The clinical data of 168 cases with rectal cancer were retrospectively analyzed. Results No operative death was noted. The postoperative follow up of 1～36 months showed that local recurrence occurred in 6 cases (3.5%), the postoperative anastomotic leakage in 13 cases (10.7%), and frequent or urgent defecation in most cases with preserved anus. Conclusions Total mesorectal excision can effectively reduce the local recurrence rate of rectal cancer after operation and raise the changes of anal sphincter preservation, but anastomotic leakage and fecal continence function are the main complications of TME.
出处
《消化外科》
CSCD
2004年第4期250-252,共3页
Journal of Digestive Surgery
关键词
直肠肿瘤
全直肠系膜切除术
疗效
rectal tumor total mesorectal excision (TME) curative effect
