摘要
低位直肠癌中选择部分病例实施保肛手术是可行的.报道了选择62例低位直肠癌在扩大根治术基础上,保留肛门括约肌,术式为经肛门环扎式结肠一直肠(肛管)吻合术.术后上方淋巴结转移率53.4%,侧方淋巴结转移率17.2%,下方淋巴结转移率0%,转移度9.1%.随访1～3年,未见盆腔软组织、淋巴结、吻合口复发.因肝转移死亡5例.影响低位直肠癌保肛术后生存率主要原因是血行转移,不是局部复发.低位直肠癌中合理选择手术适应证和保证根治的前提下积极实施保肛手术是可行的.
It's feasible to operate some of low trectal cancer cases with preservation of anal spkinc-ter. Here were reported 68 low rectal cancer cases, who received a rectal tube to make colon-rec-tum (anal) anastomosis in extended radical operation. The upper lymph node metastatic rate was52. 4 %, lateral metastatic rate was 17. 2% and lower metastatic rate 0%; the metastatic degreewas 9. 10%. The patients were followed up for 1 to 3 years. There was no local fatty tissular,lymph nodular or anastomotic recurrence. Five cases died of liver metastases. The main cause af-fecting the existence rate after operation with preservation of anal sphincter in low rectal cancer isblood metastasis rather than local recurrence
出处
《大肠肛门病外科杂志》
1998年第2期19-21,共3页
Journal of Coloproctological Surgery
