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低位直肠癌保肛手术方式及选择 被引量:25

Options for sphincter preservation in surgery for low rectal cancer
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摘要 1保肛手术的发展及基本原则目前,手术仍然是中低位直肠癌的首选治疗方法。与欧美国家相比,我国的直肠癌患者中低位直肠癌占比高,且年轻患者为数众多^([1])。因此,保肛手术的临床需求一直存在。保肛手术比较公认的起源可追溯到1948年美国医生Dixon施行的经腹前切除术(anterior resection,AR),故国内又称其为Dixon手术^([2]);1982年Parks报道了结肠肛管吻合术^([3]);1988年,Buess等报道采用经肛内镜微创手术(transanal endoscopic microsurgery,TEM)治疗早期直肠癌,尤其适用于部分需要保肛的早期低位直肠癌患者^([4]);随后至1992年及1994年,Braun及Schiessel等先后报道经括约肌间切除术在低位直肠癌中的运用^([5-6])。
出处 《结直肠肛门外科》 2020年第1期5-10,共6页 Journal of Colorectal & Anal Surgery
基金 上海市浦东新区卫生系统重点专科建设项目(PWZzk2017-26) 上海市浦东新区临床高峰或高原学科项目(PWYgf2018-04)
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  • 10WU Xiao-jian WANG Jian-ping WANG Lei HE Xiao-sheng ZOU Yi-feng LIAN Lei ZHANG Long-juan LAN Ping.Increased rate change over time of a sphincter-saving procedure for lower rectal cancer[J].Chinese Medical Journal,2008(7):636-639. 被引量:10

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