Allen P I, Fielding J W, Middleton M D, Priestman T J
Eur J Surg Oncol. 1987 Feb;13(1):21-5.
Local recurrence after abdomino-perineal excision of the rectum for Dukes C carcinoma is common. The influence of postoperative radiotherapy in reducing this is currently under investigation, and one of the potential complications is radiation damage to the small bowel. This paper describes a simple and quick method of excluding the small bowel from the pelvis which, combined with more sophisticated radiation field planning, could dramatically reduce the incidence of enteric effects.
对于杜克氏C期癌行直肠腹会阴切除术后局部复发很常见。目前正在研究术后放疗在降低局部复发方面的作用,而潜在并发症之一是小肠受到放射性损伤。本文描述了一种简单快速的将小肠移出盆腔的方法,该方法与更精密的放射野规划相结合,可显著降低肠道不良反应的发生率。