摘要
目的探讨直肠癌前切除术后局部复发病例的再手术治疗成绩并其临床意义。方法对1999年1月至2004年1月间43例直肠癌前切除术后局部复发再手术病例的临床资料进行回顾性分析。结果手术采用折刀体位,经骶尾、腹腔联合切除术式,43例中27例行根治性切除术,16例行姑息性切除术,根治性切除组的术后3年、5年生存率分别为59.3%、48.1%,明显高于姑息性切除组的25%、18.8%(P<0.05)。结论经骶尾、腹腔施行直肠癌前切除术是治疗直肠癌切除术后肿瘤局部复发的有效方法。
Objective To evaluate the effect of abdominosacral resection by the Jack-knife position on patients with local recurrence after curative anterior resection for rectal carcinoma.Methods Form January 1999 to January 2004,clinical data were analyzed retrospectively of 43 patients undergoing abdominosacral resection by the Jack-knife position for local recurrence after curative anterior resection of rectal carcinoma.Results Among 43 patients,27 underwent radical resection and 16 underwent palliative resection.The 3-,5-year survival rates were 59.3% and 48.1% in the radical resection group and 25% and 18.8% in the palliative resection group.The Kaplan-Meier method revealed that the 5-year survival rate in the radical resection group was significantly higher than that in the palliative resection group（P〈0.05）.Conclusion Abdominosacral resection by the Jack-knife position is an effective method for the treatment of local recurrence after curative anterior resection of rectal carcinoma.
出处
《中华普外科手术学杂志（电子版）》
2009年第3期39-41,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
直肠肿瘤
肿瘤复发
局部
直肠结肠切除术
重建性
Rectal noeplasms
Neoplasms recurrence, local
Proctocolectomy, restorative
