摘要
目的:研究利用超低位吻合保肛术治疗低位直肠癌的临床意义。方法:对91例肿瘤距齿状线2～4cm的低位直肠癌实施保肛治疗,行全直肠系膜切除,结肠直肠超低位吻合。术后按吻合口距齿状线距离分为3组,齿状线组19例,0～1cm组33例,1～2cm组39例。观察3组并发症等临床资料。结果:全组无手术病死率,1、3、5年生存率分别为:97.8%、81.4%、71.2%;经统计学检验,三组间并发症和局部复发的发生率无显著性差异;术后12个月肛门功能优良率评定:齿状线组77.8%,0～1cm组90.3%,1～2cm组94.3%。结论:对于患者强烈要求保肛的低位直肠癌,在手术技巧娴熟的基础上,利用单吻合器在齿状线上2cm内甚至齿状线处实施超低位吻合的保肛手术安全可靠,具有可行性。
Objective： To investigate the clinical value of anus-preserved surgery with super-low anastomosis for pa- tients with lower rectal cancer. Methods： We performed anus-preserved surgery with super-low anastomosis in 91 patients with low rectal cancer 2-4 cm from the dentation line. We divided these patients into three groups according to the distance between the anastomotic stoma and the dentation line： dentation line group, the 0-1 cm group, and the 1-2 cm group. The clinical outcome was compared among the three groups. Resuits： No patients died of surgery in all groups. The 1-, 3-, and 5-year survival rates were 97.8%, 81.4%, and 71.2%, respectively. No significant difference was found in the recurrence rate and complications among the three groups. The rate of good to fairish anal function was 77.8% in the dentation line group, 90.3% in the 0-1 cm group, and 94.3% in the 1-2 cm group. Conclusion： The anus-preserved surgery with super low anastomosis is safe and feasible for patients with low rectal cancer.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2008年第15期855-857,共3页
Chinese Journal of Clinical Oncology
关键词
低位直肠癌
超低位吻合
保肛术
Low rectal cancer
Super low anastomosis
Anus-preserved surgery
