Kirwan W O, O'Riordain M G, Waldron R
University Department of Surgery, Regional Hospital, Cork, Ireland.
Br J Surg. 1989 Oct;76(10):1061-3. doi: 10.1002/bjs.1800761025.
In 126 consecutive patients operated on for carcinoma of the lower two-thirds of the rectum, a consistent policy of sphincter preservation resulted in 100 (79 per cent) having anterior resection and 22 (17 per cent) abdominoperineal resection. Perioperative complications in the anterior resection group were: death (two patients), clinical leakage (three patients), pulmonary embolism (five patients), pelvic haematoma (one patient), small bowel obstruction (one patient) and wound sepsis (six patients). Of 55 patients who had a potentially curative anterior resection with follow-up of at least 2 years, one developed local recurrence. Five per cent of patients had significant continence problems. Low anterior resection for carcinoma is associated with low perioperative morbidity, satisfactory functional results and acceptable local recurrence rates.
在126例因直肠下三分之二癌接受手术的连续患者中，采用一致的保留括约肌策略，结果100例（79%）进行了前切除术，22例（17%）进行了腹会阴联合切除术。前切除术组的围手术期并发症包括：死亡（2例患者）、临床吻合口漏（3例患者）、肺栓塞（5例患者）、盆腔血肿（1例患者）、小肠梗阻（1例患者）和伤口感染（6例患者）。在55例接受了可能治愈性前切除术且随访至少2年的患者中，1例出现局部复发。5%的患者有明显的控便问题。直肠癌低位前切除术与围手术期低发病率、满意的功能结果和可接受的局部复发率相关。
