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腹会阴联合切除术后直肠癌盆腔及会阴部复发

Pelvic and perineal recurrences after abdominoperineal resection for adenocarcinoma of the rectum.

作者信息

Wilking N, Herrera L, Petrelli N J, Mittelman A

出版信息

Am J Surg. 1985 Nov;150(5):561-3. doi: 10.1016/0002-9610(85)90437-4.

DOI:10.1016/0002-9610(85)90437-4
PMID:4061735
Abstract

Pelvic and perineal recurrences were evaluated in 48 patients who underwent abdominoperineal resection at Roswell Park Memorial Institute for adenocarcinoma of the rectum. The duration of follow-up of these patients was at least 5 years or until death. There were 26 male and 22 female patients with a median age of 60 years. In 40 patients, the abdominoperineal resection was considered to be curative and in the remaining 8 patients, palliative abdominoperineal resection was performed. Only 2 of the 48 patients had a pelvic recurrence and in none of these patients was this recurrence the first site of relapse. One of the 48 patients had a local perineal recurrence; however, this was treated successfully with surgery. This represents a total of three pelvic or perineal recurrences in 48 patients, for a recurrence rate of 6 percent.

摘要

对48例在罗斯韦尔帕克纪念研究所接受腹会阴联合切除术治疗直肠癌的患者的盆腔和会阴部复发情况进行了评估。这些患者的随访时间至少为5年或直至死亡。有26例男性和22例女性患者,中位年龄为60岁。40例患者的腹会阴联合切除术被认为是根治性的,其余8例患者接受了姑息性腹会阴联合切除术。48例患者中只有2例出现盆腔复发,且这些患者中无一例复发是首次复发部位。48例患者中有1例出现局部会阴部复发;然而,该复发通过手术成功治疗。这48例患者中共有3例盆腔或会阴部复发,复发率为6%。

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Pelvic and perineal recurrences after abdominoperineal resection for adenocarcinoma of the rectum.腹会阴联合切除术后直肠癌盆腔及会阴部复发
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Abdominoperineal resection for rectal cancer at a specialty center.在专科中心进行的直肠癌腹会阴联合切除术。
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The morbidity of perineal wounds following abdominoperineal resection for rectal carcinoma.直肠癌经腹会阴联合切除术会阴伤口的发病率。
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Ann Surg Oncol. 1996 Nov;3(6):526-33. doi: 10.1007/BF02306084.
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Intraoperative photodynamic therapy as an adjunct to surgery for recurrent rectal cancer.术中光动力疗法作为复发性直肠癌手术的辅助治疗方法。
Ann Surg Oncol. 1995 May;2(3):228-32. doi: 10.1007/BF02307028.
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Anastomotic recurrence of colorectal cancer--a biological phenomenon or an avoidable calamity?结直肠癌吻合口复发——一种生物学现象还是一场可避免的灾难?
Gut. 1987 Jul;28(7):786-91. doi: 10.1136/gut.28.7.786.