摘要
为总结改良Bacon术（保肛结肠拉出术）治疗低位直肠癌的经验，回顾分析58例行改良Bacon术的低位直肠癌患者资料。手术方法：行直肠全系膜切除后，扩肛至容4指，去除齿状线以上的肠黏膜，将结肠无张力地拉出肛门外3~4cm，且有再拉出5~6cm的余地；术后患者取屈膝外展位；切除多余结肠后教会患者自己每日用直径1．8～2．0cm、长约8cm的试管样类似物扩张结肠游离缘，坚持半年。结果显示，3例患者多余结肠在术后2d内坏死，经肛再次拉出3~4cm结肠得以妥善处理。半年后患者肛门功能基本恢复正常。结果表明，低位直肠癌改良Bacon术是一种较为安全的术式。
The objective of the study was to summarize the experience in the treatment of low rectal carci- noma with improved Bacon procedure. The clinical data of 58 paitents who had undergone improved Bacon procedure were analyzed retrospectively. The procedure applied in the study included：total mesorectal exci- sion;anus dilation（contained 4 fingers）;resection of the mucosa above the dental line;tension-free pull- through the colon 3-4cm out of the anus,while there was still length of 5-6cm left within the anus for re- traction ~ postoperative genuflex abduction position; resection of extra colon; then daily performing dilation of the colonic free edge for 6 months by patients-self with thing like tube （diameter 1.8-2.0 cm, longth 8cm）. As results,necrosis of the extra rectum occurred within 2 days after operation,which was treated by traction of colon 3-4 cm out of the anus,and management as introduced above; the anal function recovery basically 6 months after the operation. It is concluded that improved Bacon procedure in the treatment of low rectal carcinoma is basically a safer one.
出处
《中国肛肠病杂志》
2010年第6期14-16,共3页
Chinese Journal of Coloproctology
关键词
低位直肠肿瘤
保肛术
结肠拉出术
Low rectal neoplasm
Saving anus procedure
Colon pull-through procedure
