Lytkin M I, Klur V Iu, Chalisov I A, Borina Z N, Kriuchkov S B, Khomenko I P
Vestn Khir Im I I Grek. 1989 Aug;144(8):38-42.
The surgical treatment of rectum cancer in 165 patients with the apparatus AKA-2 for compressive anastomoses was analyzed. The oncological adequacy of proximal resections of the rectum at the distal level of the section not less than 3.5-5 cm from the visually seen margin of the tumor depending on its growth type was shown. Low anterior resection of the rectum in patients with considerable size of the tumors is not oncologically justified.
分析了165例直肠癌患者使用AKA - 2型压迫吻合器进行手术治疗的情况。结果表明,根据肿瘤生长类型,在距肉眼可见肿瘤边缘不少于3.5 - 5厘米的远侧水平进行直肠近端切除,在肿瘤学上是足够的。对于肿瘤体积较大的患者,直肠低位前切除术在肿瘤学上是不合理的。