Bakare S C, Shafir M, McElhinney A J
J Surg Oncol. 1987 May;35(1):55-8. doi: 10.1002/jso.2930350114.
The pelvis is the preferential site of disease when recurrence occurs after curative resection of rectal cancer. Postoperative adjuvant radiotherapy decreases local recurrence rates for Dukes stages B and C; however, after abdominoperineal or anterior resections, the small bowel descends into the lower pelvis, and, due to its low tolerance to radiation, optimal doses cannot be safely delivered unless the small bowel can be excluded from the pelvis. This can be achieved by cystopexy and/or by creating a pelvic sling with a knitted polypropylene mesh. Three cases are presented in which radiotherapy was satisfactorily delivered with these techniques.
直肠癌根治性切除术后复发时，骨盆是疾病的好发部位。术后辅助放疗可降低 Dukes B 期和 C 期患者的局部复发率；然而，在腹会阴联合切除术或前切除术之后，小肠会坠入盆腔下部，并且由于其对放疗的耐受性低，除非能将小肠排除在盆腔之外，否则无法安全地给予最佳剂量的放疗。这可通过膀胱固定术和/或用编织聚丙烯网创建盆腔吊带实现。本文介绍了 3 例通过这些技术成功进行放疗的病例。
