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经会阴-经肛门-经腹直肠切除术(作者译)

[Perineo-transano-abdominal resection of the rectum (author's transl)].

作者信息

Faure J

出版信息

J Chir (Paris). 1979 May;116(5):365-9.

PMID:489686
Abstract

The operative procedure described by the author, is a combined perineal and abdominal procedure for resection of the rectum. The first step is a perineal approach: patient placed in lithotomy position. The rectum is dissected free of the sphincter ani muscle. The second step perineal and abdominal: patient being placed in a semilithotomy position draped for work in the abdomen and at the same time, in perineum: the sigmoid brought down preferably if it found free of any pathology. On 18 cases of cancer, of the rectum, even some of large volume: when the inferior limit of the lesion was from 6 to 12 mc, above the anus, this procedure was carried on with good post-operative results.

摘要

作者描述的手术步骤是一种会阴和腹部联合的直肠切除术。第一步是会阴入路:患者置于截石位。游离直肠与肛门括约肌。第二步是会阴和腹部联合:患者置于半截石位,铺巾以便于腹部操作,同时也便于会阴操作:如果乙状结肠没有任何病变,最好将其下拉。在18例直肠癌病例中,甚至包括一些体积较大的病例:当病变下限在肛门上方6至12厘米时,采用该手术方法,术后效果良好。

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