全盆腔器官切除术治疗晚期直肠癌  

Pelvic Exenteration in the Treatment of Advanced Rectal Carcinoma

作　　者：董新舒[1] 李志高[1] 卢德保[1] 佟金学[1] 刘忠臣[1] 王风君 崔宾宾 刘永平[1] 

机构地区：[1]哈尔滨医科大学第三医院

出　　处：《中国肿瘤临床》1996年第3期185-187,共3页Chinese Journal of Clinical Oncology

摘　　要：介绍全盆腔器官切除术治疗晚期及复发直肠癌的体会。采用此方法治疗的９例中有２例已生存３年以上，除１例死亡外，其余生存１年～２年６个月。操作要点为尿痿的造设，作法是，左侧输尿管于腹膜后牵至右侧，与右侧输尿管一并于右下腹造设尿痿。对于过多的腹膜缺损，认为最好的办法是以带蒂的大网膜或合成材料进行修补。全盆腔器官切除术为患者生存期的延长开辟了新路。Nine patients were reported with 2 who have been living three years postoperatively.The principal technics concerned was cutaneous ureterostomy.Left ureter was led out through retroperitoneum to the right lower quadrant of abdomen together with the right ureter.Under cirumstance when the peritoneum was extensively resected,the defect should be repaired with omentum or artificial material.It is hopeful to lengthen the period of life by this method in patients with advanced rectal cancer.

关 键 词：直肠肿瘤 晚期 外科手术 全盆腔器官切除 

分 类 号：R735.370.5[医药卫生—肿瘤]