Eigler F W, Gross E, Niebel W
Radiologe. 1986 Aug;26(8):369-75.
Based on natural history, the localization, stage and grading of rectal carcinomas the abdomino-perineal excision is no longer the routine procedure. Over 50% of the patients should be suitable for a sphincter saving operation. Local excision is justified under certain circumstances. The morbidity and lethality of the operation have decreased considerably; the cure rate has not changed during the past decade. Future improvements may be expected from new adjuvant treatments, individualization of adjuvant therapy and more aggressive surgical therapy.
基于直肠癌的自然病程、定位、分期和分级，腹会阴联合切除术已不再是常规手术。超过50%的患者应适合保肛手术。在某些情况下，局部切除是合理的。该手术的发病率和死亡率已大幅下降；在过去十年中，治愈率没有变化。有望通过新的辅助治疗、辅助治疗的个体化以及更积极的手术治疗取得未来的进展。
