Yücesoy A N, Ercan Bülbül E, Bahat R, Cafer Köşkeroğlu C
Ozel Bati Bahat Hospital, Istanbul, Turkey.
Tech Coloproctol. 2008 Mar;12(1):83-5; discussion 85-6. doi: 10.1007/s10151-008-0403-0. Epub 2008 May 30.
Adenocarcinoma of the lower rectum can be resected with a sphincter-sparing procedure but exposure of the lower pelvis may be difficult and sphincter function may be compromised. We have performed a low anterior resection for rectal cancer in a 69-year-old woman with mobilisation of the tumour and anastomosis performed transvaginally without a covering stoma. This way we could get good exposure of the lower rectum and anal sphincters. The patient made an uneventful recovery and was fully continent after surgery. Transvaginal low anterior resection is an alternative route which may be useful in cases of difficult exposure of low rectal cancer.
低位直肠癌可通过保留括约肌的手术进行切除，但暴露骨盆下部可能困难，且括约肌功能可能受损。我们为一名69岁女性的直肠癌实施了低位前切除术，术中游离肿瘤并经阴道进行吻合，未行造口覆盖。通过这种方式，我们能够很好地暴露直肠下部和肛门括约肌。患者术后恢复顺利，术后完全控便。经阴道低位前切除术是一种替代途径，在低位直肠癌暴露困难的病例中可能有用。
