中低位直肠癌行保肛手术值得关注的几个问题  

Sphincter-preserving surgery in mid-low rectal cancer:Integrative consideration and problems

作　　者：顾晋 

机构地区：[1]北京大学肿瘤医院结直肠肿瘤外科,北京100142

出　　处：《中国实用外科杂志》2014年第9期797-798,共2页Chinese Journal of Practical Surgery

摘　　要：我国大约有70%的直肠癌发生于中低位直肠。低位前切除是中低位直肠癌的首选手术。低位直肠癌保肛手术中应该注意以下问题:(1)掌握美国癌症联合会(AJCC)术前分期的重要意义;(2)对cT3或淋巴结阳性的直肠癌新辅助治疗的重要性;(3)正确选择低位直肠癌的保肛手术;(4)直肠癌局部切除中存在的问题。Low rectal cancer is common cancer in China.About 70% of rectal cancer is located mid-low rectum. Lowanterior resection（LAR） is firstly adopted by surgeons aslow-third rectal cancer. The following knowledge need to bepaid attention to（1） Preoperative staging of rectal cancer is soimportant that surgeons should adopt based on AJCC TNMstaging system.（2） Neoadjuvant therapy should be used for cT3 or N ＋ rectal cancer.（3） Doctors should carefully select patients to perform sphincter-preserving surgery.（4） Some problems regarding local excision for early staging cancer.

关 键 词：中低位直肠癌 保肛手术 新辅助治疗 环周切缘 

分 类 号：R6[医药卫生—外科学]