直肠癌合并腹股沟斜疝一期手术治疗(附4例报告)  

Synchronous Surgical Treatment of Patients with Indirect Inguinal Hernia and Rectal Cancer:with 4 Cases Report

作　　者：郑阳春[1] 燕锦[1] 刘宝善[1] 刘超[1] 徐琳[1] 

机构地区：[1]四川省肿瘤医院腹部外科,成都610041

出　　处：《肿瘤预防与治疗》2009年第4期405-407,I0002,共4页Journal of Cancer Control And Treatment

基　　金：四川省卫生厅资助课题(070020)

摘　　要：目的:探讨直肠癌合并腹股沟斜疝患者一期行直肠癌根治术和腹股沟疝无张力修补术的可行性及治疗效果。方法:对4例直肠癌合并腹股沟斜疝患者行直肠癌前切除术时,同期应用普理灵疝装置施行腹股沟疝的无张力修补术。结果:4例患者手术均顺利完成,平均手术时间255 min,其中疝修补时间60 min;术后平均住院10天,无术后并发症;术后平均随访28个月,无疝复发。结论:直肠癌合并腹股沟斜疝患者一期行直肠癌根治术和腹股沟疝无张力修补术是安全可行的,但必须严格遵守无菌和无瘤原则进行规范性操作。Objective： To investigate the feasibility and efficiency of synchronous surgical treatment for patients with indirect inguinal hernia and rectal cancer. Methods： From June 2006 to June 2008, tension-free hernia repair using Prolene Hernia System （PHS） was performed on four cases with indirect inguinal hernia, when they were undergoing surgical resection of the synchronous rectal eancer. Results： Surgeries were successfully completed on all four patients. The avarage operation time was 255 minutes, while herniorrhaphy took 60（40 -80） minutes. The average hospital stay after operation was 10 days. No surgery related complication was observed. During a period of 28 （ 15 -36） months＇ follow-up, no hernia recurrence occurred. Conclusion： It is feasible and effective to perform herniorrhaphy and rectal cancer resection in onestage operation. However, aseptic principles must be strictly obeyed and standard oneologieal maneuvers be carefully carried out.

关 键 词：直肠癌 腹股沟疝 无张力修补术 外科治疗 

分 类 号：R735.37[医药卫生—肿瘤]