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经括约肌间切除术和结肠肛管吻合术治疗低位直肠癌

Intersphincteric resection and coloanal anastomosis in treatment of distal rectal cancer.

作者信息

Cipe Gokhan, Muslumanoglu Mahmut, Yardimci Erkan, Memmi Naim, Aysan Erhan

机构信息

Department of General Surgery, Faculty of Medicine, Bezmialem Vakif University, Adnan Menderes Bulvari, Istanbul 34090, Turkey.

出版信息

Int J Surg Oncol. 2012;2012:581258. doi: 10.1155/2012/581258. Epub 2012 May 29.

DOI:10.1155/2012/581258
PMID:22690335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3368590/
Abstract

In the treatment of distal rectal cancer, abdominoperineal resection is traditionally performed. However, the recognition of shorter safe distal resection line, intersphincteric resection technique has given a chance of sphincter-saving surgery for patients with distal rectal cancer during last two decades and still is being performed as an alternative choice of abdominoperineal resection. The first aim of this study is to assess the morbidity, mortality, oncological, and functional outcomes of intersphincteric resection. The second aim is to compare outcomes of patients who underwent intersphincteric resection with the outcomes of patients who underwent abdominoperineal resection.

摘要

在远端直肠癌的治疗中,传统上采用腹会阴联合切除术。然而,随着对更短安全远端切除线的认识以及括约肌间切除技术的出现,在过去二十年里,为远端直肠癌患者提供了保肛手术的机会,并且该手术仍作为腹会阴联合切除术的替代选择而被实施。本研究的首要目的是评估括约肌间切除的发病率、死亡率、肿瘤学及功能结局。第二个目的是比较接受括约肌间切除的患者与接受腹会阴联合切除的患者的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbc2/3368590/7cd13a359700/IJSO2012-581258.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbc2/3368590/7cd13a359700/IJSO2012-581258.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbc2/3368590/7cd13a359700/IJSO2012-581258.001.jpg

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Morbidity risk factors after low anterior resection with total mesorectal excision and coloanal anastomosis: a retrospective series of 483 patients.低位前切除加全直肠系膜切除术和结肠肛管吻合术后的发病率危险因素:483 例回顾性系列研究。
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