超低位直肠癌经前会阴切除保肛术13例分析  

Anterior perineal planE for ultra-low anterior resection of the rectum for ultra-low rectal cancer

作　　者：熊斌[1] 曾广正[1] 

机构地区：[1]南昌市第一医院普外科,330008

出　　处：《中华普外科手术学杂志（电子版）》2012年第1期25-28,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨经前会阴直肠癌切除术的临床效果。方法对13例确诊为超低位直肠癌患者实施经前会阴直肠癌切除术,并观察治疗效果。结果 13例患者远切缘距肿瘤下缘1.0～2.0cm,平均1.6cm,均一期手术切除肿瘤,无围手术期死亡病例。术后并发症发生率23.1%(3/13),所有患者均获得1至5年随访,术后1年对固体、液体和气体粪便均能很好控制排便者为61.5%(8/13)。术后1年,总体生存质量评分达75分以上。结论经前会阴直肠癌切除术能较彻底切除肿瘤组织,有效保留括约肌功能,在治疗超低位直肠癌时是一种可供选择的方法。Objective To investigate the clinical effect of APPEAR technique （Anterior Perineal plane for ultra-low Anterior Resection of the rectum ） for ultra-low rectal cancer. Methods Thirteen patients with ultra-low rectal cancers underwent APPEAR operation, and the clinical effects were observed. Results Of the 13 patients, the distance between the distal margin and tumor ranged from 1.0 to 2.0 cm （with average of l. 6cm ） , and all of the tumors were radically reseeted by one-stage operation with no perioperative death. Postoperative complications were seen in 23.1% of the patients （ 3 / 13 ）. All the patients were followed up from 1 to 5 years, 61.5% （ 8/13 ） patients had well control of both solid and liquid stool, as well as the gas. The total life quality score was more than 75 one year after the operation. Conclusions APPEAR operation could facilitate the radical resection of tumors and could preserve the function of anal sphincter. It could be an alternative for the removal of ultra-low rectal cancer.

关 键 词：直肠肿瘤 结直肠外科手术 排便 生活质量 

分 类 号：R735.37[医药卫生—肿瘤]