Márquez A, Rosati G, Tahán J, D'Apuzzo G
Servicio de Cirugía General Hospital Militar Dr. Carlos Arvelo, Caracas, Venezuela.
G E N. 1990 Oct-Dec;44(4):397-408.
A retrospective review was performed of 43 clinical records of patients who underwent surgical treatment for low rectal cancer less than 12 cm from the anus in the General Surgical Service of the Hospital Militar "Dr. Carlos Arvelo" of Caracas, between 1969 and 1988. 21 patients (49%) were males and 22 (51%) females with an average age of 61 years. In 22 (51%) a sphincter saving resection (SSR) was done: 18 low anterior resection, 3 coloanal anastomosis and one pull-through, in 21 (46%) abdominoperineal resection (APER). All were adenocarcinoma except one, reported as a cloacogenic. 2 (9%) operative death were in the SSR and 7 (33%) in the APER. 4 (20%) patients with SSR died without recurrence and 2 (10%) with recurrence. In the group of APER 1 (7%) died without recurrence and 4 (29%) with local recurrence. A critical review was done of our experience and the international literature about the use of the SSR in low rectal cancer.
对1969年至1988年间在加拉加斯“卡洛斯·阿韦洛博士”军事医院普通外科接受手术治疗的43例距肛门小于12 cm的低位直肠癌患者的临床记录进行了回顾性研究。21例（49%）为男性，22例（51%）为女性，平均年龄61岁。22例（51%）进行了保肛手术（SSR）：18例低位前切除术，3例结肠肛管吻合术和1例拖出术；21例（46%）进行了腹会阴联合切除术（APER）。除1例报告为泄殖腔源癌外，其余均为腺癌。SSR组有2例（9%）手术死亡，APER组有7例（33%）手术死亡。SSR组4例（20%）患者无复发死亡，2例（10%）复发死亡。APER组1例（7%）无复发死亡，4例（29%）局部复发。对我们在低位直肠癌中使用SSR的经验和国际文献进行了批判性回顾。
