Hautefeuille P, Valleur P, Perniceni T, Martin B, Galian A, Cherqui D, Hoang C
Department of Surgery, Hôpital Lariboisiere, Paris, France.
Ann Surg. 1988 Jan;207(1):61-4. doi: 10.1097/00000658-198801000-00012.
Thirty-five patients who had adenocarcinoma of the middle third of the rectum were treated by resection and coloanal anastomosis. The aim of this study was to assess functional and oncologic results of an original technique of coloanal anastomosis. There was no operative mortality, and operative morbidity consisted of seven anastomotic leaks with two failures. Among 31 patients assessed for functional results only one had unsatisfactory results. Good continence was obtained within a few weeks for the 30 patients who had satisfactory results. No patients were lost to follow-up, which was over 5 years in 24 patients (68%). The 5-year survival rate was 64%, identical to that for other series.
35例直肠中1/3腺癌患者接受了切除及结肠肛管吻合术治疗。本研究的目的是评估一种原创的结肠肛管吻合技术的功能及肿瘤学效果。无手术死亡病例,手术并发症包括7例吻合口漏,其中2例失败。在评估功能结果的31例患者中,只有1例结果不满意。30例结果满意的患者在几周内即获得了良好的控便能力。无患者失访,24例患者(68%)随访超过5年。5年生存率为64%,与其他系列报道相同。