直肠肛管癌腹会阴联合切除术的审计与诞生

Audit and the birth of the abdomino-perineal excision for carcinoma of the rectum.

作者信息

Wiley Malcolm J, Rieger Nicholas

机构信息

Department of Surgery, The University of Melbourne, Austin and Repatriation Medical Centre, Melbourne, Victoria, Australia.

出版信息

ANZ J Surg. 2003 Oct;73(10):858-61. doi: 10.1046/j.1445-2197.2003.02786.x.

DOI:10.1046/j.1445-2197.2003.02786.x

PMID:14525585

Abstract

Sir Ernest Miles first performed his radical abdomino-perineal excision for carcinoma of the rectum in 1907. This event was the culmination of almost a decade of audit in which he carefully studied the outcomes of patients with rectal carcinoma. Miles's interpretation of his audit led, in a stepwise manner, to gradual changes in his operative technique and the eventual development of the radical abdomino-perineal operation; the operation that bears his name. The Miles operation and the principles upon which it is based, would lead to an improved outcome for patients with rectal carcinoma.

摘要

欧内斯特·迈尔斯爵士于1907年首次实施了直肠癌根治性腹会阴联合切除术。这一事件是近十年审计工作的 culmination，在此期间他仔细研究了直肠癌患者的治疗结果。迈尔斯对其审计结果的解读逐步导致了他手术技术的逐渐改变以及根治性腹会阴联合手术的最终发展；即以他的名字命名的手术。迈尔斯手术及其所基于的原则，将为直肠癌患者带来更好的治疗结果。