括约肌间切除术：在保留括约肌方面不断突破极限
Intersphincteric Resection Pushing the Envelope for Sphincter Preservation.
作者信息
Denost Quentin, Rullier Eric
机构信息
Colorectal Unit, Department of Surgery, Centre Magellan, Haut Lévèque University Hospital, Bordeaux/Pessac, France.
出版信息
Clin Colon Rectal Surg. 2017 Nov;30(5):368-376. doi: 10.1055/s-0037-1606114. Epub 2017 Nov 27.
Abstract
During the last 15 years, a significant evolution has emerged in the surgical treatment of rectal cancer and restoration of bowel continuity has been one of the main goals. For many years the treatment of distal rectal cancer would necessarily require an abdominoperineal resection and end colostomy. The surgical procedure of intersphincteric resection has been proposed to offer sphincter preservation in patients with low rectal cancer and has been legitimized if executed according to adequate oncologic criteria. This article will discuss the best indications, technical aspects, functional, and oncological outcomes of intersphicteric resection in the management of rectal cancer.
摘要
在过去15年中，直肠癌的外科治疗出现了重大进展，恢复肠道连续性一直是主要目标之一。多年来，低位直肠癌的治疗必然需要腹会阴联合切除术和结肠造口术。提出了括约肌间切除术这一手术方法，旨在为低位直肠癌患者保留括约肌，并且如果按照适当的肿瘤学标准实施，该方法已得到认可。本文将讨论括约肌间切除术在直肠癌治疗中的最佳适应证、技术要点、功能和肿瘤学结局。
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