中下段直肠癌根治术中全直肠系膜切除术及吻合器的应用  

Study on the Feasibility of Total Mesorectal Excision and Clol-rectal in patients with Rectal Cancer

作　　者：周建刚[1] 杨波[1] 吕强[1] 

机构地区：[1]江苏省常州市武进中医医院普外科,江苏常州213000

出　　处：《中国临床医学》2008年第6期820-821,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨中下段直肠癌根治术中全直肠系膜切除术及吻合器的应用价值。方法:对1997年1月—2003年10月68例中下段直肠癌采用全系膜切除及应用吻合器治疗的疗效和并发症进行分析。结果:本组无手术死亡病例,发生吻合口瘘1例(1.5%)。随访2～64个月,平均33.1±26.2月,随访结束时总生存率66.2%(45/68)。吻合口狭窄3例(4.4%),性功能障碍4例(5.9%),局部复发6例(8.8%)。结论:中下段直肠癌采用全系膜切除及吻合器技术能降低术后肿瘤局部复发率,提高患者生存质量。Objective： To assess the feasibility of total mesorectal excision and colo-rectal anastomoses for rectal cancer. Methods：From Jan 1997 to Oct 2003, 68 cases of rectal cancer were treated by total mesorectal excision and colo-rectal anastomoses, and the complication and eruative effect were analyzed. Results： No operative death was noted, and the anastomotic leakage occurred in 1 patient（1. 5%）. The late survive rate was 66.2% with a 33. 1-month follow-up. Anastomotic stenosis occurred in 3 （4.4 % ）. Sexual dysfunction occurred in 4 （5.9 % ） and local recurrence occurred in 6 （8.8 % ）. Conclusion： Total mesorectal excision and colo-rectal anastomoses for rectal cancer can reduce the local recurrence rate after operation. And it can improve the quality of the survivals life.

关 键 词：直肠癌 全直肠系膜切除术 

分 类 号：R735.37[医药卫生—肿瘤]