Stabilini L, Brigli G, Casonato E, Maresca P, Camera P L
Divisione di Chirurgia Generale, Ospedale S. Giacomo, Novi Ligure Alessandria.
Minerva Chir. 1992 Dec;47(23-24):1777-82.
The paper reports the Authors' experience during the period 1989-91 and refers to 80 operated cases of rectum-sigma cancer. Given that data reported in the literature affirm that the limit of oncological safety is 1.5-2 centimetres distal from the tumour, and owing to their use of mechanical staplers, the Authors were able to use the preferred anterior section followed by low or very low colo-rectal anastomosis in 96% of cases. Miles' technique for abdomino-perineal amputation was only resorted to in 4% of cases. Tumours parameters, short- and medium-term complications and the results of a short-term follow-up are all discussed. The Authors compare their experience with that of other researchers reported in the literature.
本文报告了作者在1989 - 1991年期间的经验，涉及80例直肠乙状结肠癌手术病例。鉴于文献报道的数据表明肿瘤学安全边界是距肿瘤远端1.5 - 2厘米，并且由于使用了机械吻合器，作者能够在96%的病例中采用首选的前部手术，随后进行低位或超低位结直肠吻合术。仅4%的病例采用了腹会阴联合切除术（Miles术）。文中讨论了肿瘤参数、短期和中期并发症以及短期随访结果。作者将他们的经验与文献中其他研究者的经验进行了比较。
