TME技术在直肠癌根治术48例中的应用  

Application of TME in radical operation of 48 cases of rectal cancer

作　　者：刘铜军[1] 王权[1] 李博[1] 

机构地区：[1]吉林大学第一医院普外科,长春130021

出　　处：《腹部外科》2006年第2期82-83,共2页Journal of Abdominal Surgery

摘　　要：目的 探讨全直肠系膜切除术（TME）在直肠癌根治术中的应用技巧和注意事项。方法 回顾性分析我院2003年9月～2005年3月遵循TME原则对48例直肠癌病人实施根治术的临床资料。行Miles手术者8例，行前切除术者40例。其中，行超低位结肠肛管端端吻合术及回肠临时造口术者4例。结果 本组病例随访1～22个月，均无肿瘤局部复发。行前切除术的40例无吻合口瘘发生。有1例在术后1个月行盆腔放疗，因肠管广泛损伤、肠功能衰竭而死亡。结论 TME技术易于掌握，解剖层次清晰，肿瘤局部复发率低，值得临床推广应用。Objective To discuss the application of TME in the radical operation for rectal cancer. Methods The clinical data of 48 patients with rectal cancer subject to rectal operation according to the TME principle from Sep. 2003 to Mar. 2005 were retrospectively analyzed. Eight cases received Miles operations and 40 cases received anterior resection. Among them, 4 cases were subjected to the ultra low colon-anus end anastomosis and temporarily ileumstomy. Results During a follow-up of 1～22 months, no local recurrence of tumor occurred. In 40 cases receiving anterior resection, no anastomotic stoma fistula occurred. One case receiving pelvic radiation one month after operation was died of intestinal function failure. Conclusion TME technology is easy to master, with clear anatomical level and low incidence of local tumor recurrence.

关 键 词：直肠肿瘤 直肠结肠切除术 重建性 肿瘤复发 局部 

分 类 号：R735.37[医药卫生—肿瘤] R735.370.5[医药卫生—临床医学]