Spanos Constantine P
1st Department of Surgery, Aristotelian University School of Medicine, 55236 Thessaloniki, Greece.
Int J Surg Oncol. 2012;2012:241512. doi: 10.1155/2012/241512. Epub 2012 Jun 7.
The treatment of rectal cancer has evolved from being solely a surgical endeavor to a multidisciplinary practice. Despite the improvement in outcomes conferred by the addition of chemoradiation therapy to rectal cancer treatment, advances in surgical technique have significantly increased rates of sphincter preservation and the avoidance of a permanent stoma. In recent years, intersphincteric resection for low rectal cancer has been offered and performed in patients as an alternative to abdominoperineal resection. An overview of this procedure, including indications, oncological and functional results based on current literature, is presented herein.
直肠癌的治疗已从单纯的手术治疗发展为多学科治疗。尽管在直肠癌治疗中加入放化疗后疗效有所改善,但手术技术的进步显著提高了保肛率并避免了永久性造口。近年来,低位直肠癌的括约肌间切除术已作为腹会阴联合切除术的替代方案提供给患者并开展实施。本文将根据当前文献对该手术进行概述,包括适应证、肿瘤学及功能结果。