摘要
目的探讨全直肠系膜切除术(TME)在中、低位直肠癌治疗的应用。方法回顾总结129例行全直肠系膜切除术的中、低位直肠癌病例,分析疗效、局部复发和术后并发症。结果围手术期死亡率1.55%(2/129);5年生存率66.70%(58/87);2年局部复发率6.20%(8/129);发生吻合口瘘和吻合口狭窄分别为12例(9.30%)和10例(7.75%)。结论全直肠系膜切除术可有效降低局部复发率,减少术后并发症,可提高病人生活质量和生存率,是治疗中、低位直肠癌的理想手术。
[Objective] To investigate the application of total mesorectal excision （TME） for middle and low rectal cancer. [Methods] The clinical data of 129 cases with middle and low metal cancer treated by rIME were retrospectively analyzed including the therapeutic effect, local recurrence, and complications. [Results] Perioperative death rate was 1.55% （2/129）; 5-year survival rate was 66.70% （58/87）; 2-year local recurrence rate was 6.20% （8/ 129）. The cases with anastomotic leakage and anastomotic constriction was 12 （9.30%） and 10 （7.75%） respectively. [Conclusion] Total mesorectal excision is a perfect operation for middle and low rectal cancer to reduce local recurrence, decrease postoperative complications, and improve postoperative quality of life of the patients and survival rate.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第1期80-82,共3页
China Journal of Modern Medicine
关键词
直肠癌
全直肠系膜切除术
局部复发
吻合口瘘
吻合口狭窄
rectal cancer
, total mesorectal excision （TME）
local recurrence
anastomotic leakage
anastomotic constriction
