Service de chirurgie viscérale et digestive, centre hospitalier de Beauvais, avenue Léon-Blum, BP 40319, 60021 Beauvais cedex, France.
J Visc Surg. 2011 Apr;148(2):e85-93. doi: 10.1016/j.jviscsurg.2011.03.001. Epub 2011 Apr 11.
Abdominoperineal resection is the one of the oldest surgical procedures for rectal cancer. Outcome after abdominoperineal resection for rectal carcinoma is not as good as anterior resection as the risk of local recurrence is higher and survival is poorer. During abdominoperineal resection, the rate of rectal perforation is high and the circumferential margin is often involved. Recently the concept of cylindrical abdominoperineal resection has been reintroduced. It allows a large excision and the initial results are encouraging. The purpose of this article was to analyse the oncological results of abdominoperineal resection and to develop the potential technical modifications of the procedure.
经腹会阴联合切除术是直肠癌最古老的手术方法之一。与前切除术相比，经腹会阴联合切除术治疗直肠癌的效果并不理想，因为局部复发的风险更高，生存率更低。在经腹会阴联合切除术中，直肠穿孔的发生率较高，且往往累及环周切缘。最近，重新引入了圆柱形经腹会阴联合切除术的概念。它可以进行大范围的切除，初步结果令人鼓舞。本文旨在分析经腹会阴联合切除术的肿瘤学结果，并探讨该手术的潜在技术改良。
