摘要
目的:探讨Mason手术在中低位直肠肿瘤局部切除术中的应用价值。方法:对1994年10月至2005年10月采用Ma-son手术作局部切除的42例中低位直肠肿瘤患者资料作回顾性分析。结果:42例中直肠腺瘤10例,直肠癌30例,直肠类癌2例,恶性肿瘤中Tis-T1期21例,T2-T3期11例,病理证实切缘无肿瘤残留。术后随访其中1例因肝转移死亡,1例因复发行Miles手术。结论:Mason手术可作为直肠中低位良性肿瘤以及Tis-T1期中低位直肠癌的首选术式,对于进展期直肠癌选施Mason手术后应辅以放疗。
Objective：To investigate the value of Mason procedure for local excision of middle and lower rectal turnout. Methods：Clinical data of forty-two patients with tumor in middle and low rectum were treated by Mason surgical procedure for local excision from October 1994 to October 2005 were analyzed retrospectively. Results：Of 42 patients , 10 were with rectal adenoma,30 with rectal cancer and 2 with rectal carcinoid. Tumor stages were Tis-T1 stage in 21 patients, T2-T3 stage in 11 patients. No patients with positive margins in the resected specimens. All patients were followed-up. One patient was dead because of liver metastasis,one patient had been accepted Miles procedure because of recrudescence. Conclusion： Mason procedure can be chosen for local excision in middle and lower benign rectal tumour or cancer（Tis-T1 stage）. It is necessary to give radiation therapy for progressive rectal cancer after Mason procedure.
出处
《结直肠肛门外科》
2006年第5期289-290,共2页
Journal of Colorectal & Anal Surgery
