直肠切除术后的重建技术：哪种最佳？
Reconstruction techniques after proctectomy: what's the best?
作者信息
de la Fuente Sebastian G, Mantyh Christopher R
机构信息
Division of Colorectal Surgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
出版信息
Clin Colon Rectal Surg. 2007 Aug;20(3):221-30. doi: 10.1055/s-2007-984866.
Abstract
There are approximately 40,000 new rectal cancer cases diagnosed each year in the United States, representing the second most common gastrointestinal malignancy (behind colon cancer). With the advent of sphincter preserving techniques, patients with mid and low colorectal cancers enjoy the benefits of better postoperative functional outcomes and quality of life; however, controversy exists over which reconstructive technique is superior in restoring bowel continuity. Construction of a straight coloanal anastomosis is technically simpler, but functional outcomes are inferior compared with colonic reservoirs. The purpose of this review is to summarize the current data regarding reconstructive techniques following proctectomy.
摘要
在美国，每年约有4万例新诊断的直肠癌病例，是第二常见的胃肠道恶性肿瘤（仅次于结肠癌）。随着保肛技术的出现，中低位结直肠癌患者术后功能结局和生活质量得到改善；然而，在恢复肠道连续性方面哪种重建技术更优仍存在争议。直结肠肛管吻合术在技术上更简单，但与结肠贮袋相比，功能结局较差。本综述的目的是总结直肠切除术后重建技术的现有数据。
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