目的:探讨保留肛门外括约肌低位直肠癌保肛手术的应用。方法: 在全直肠系膜切除的基础上,应用国产一次性管状吻合器,对32例低位直肠癌行保留肛门外括约肌超低位结肛吻合,随访12～36个月。回顾性分析其根治性、术后排便功能、手术并发症、局部复发率。结果: 全组病例术后病理检查无切端癌残留,无大便失禁,无吻合口漏;全组无手术死亡;肿瘤局部复发率9.4%(3/32)。结论: 低位直肠癌保留肛门外括约肌保肛手术,遵循肿瘤根治的原则下,能保留患者正常的肛门排便功能,明显改善该类患者的生活质量。
Citation：
JIA Yingdong,YANG Zhaohui. Clinical Analysis of Preserving External Sphincter of Anus for 32 Cases of Anus Preservation Operation on Low Position Rectal Cancer. West China Medical Journal, 2009, 24(8): 2128-2129. doi:
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- 2. RIDGWAY P F, DARZI A W. The role of total mesorectal excision in the management of rectal cancer[J].Cancer Control,2003,10(3):205.
- 3. PISO P, DAHLKE M H, MIRENA P, et al.Total mesorectal excision for middle and lower rectal cancer: a single institution experience with 337 consecution patients[J].J Surg Oncol,2004,86(3):115.
- 4. 金德,李林虎,李长鹤,等.应用吻合器行低位直肠癌保留肛门根治术5例[J].延边大学医学学报,2004,27(1):60.
- 5. 吴孟超,吴在德,主编.黄家驷外科学(中册)[M].第7版.北京:人民卫生出版社,2008:1641.
- 6. RIDGWAY P F, DARZI A W. The role of total mesorectal excision in the management of rectal cancer[J].Cancer Control,2003,10(3):205-211.
