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巴布科克手术对直肠癌治疗的贡献。170例病例的结果(作者译)

[Contribution of Babcock's operation to the treatment of rectal cancer. Results in 170 cases (author's transl)].

作者信息

Cugnenc P H, Grassin P, Parc R, Loygue J

出版信息

J Chir (Paris). 1981 Feb;118(2):121-6.

PMID:7228920
Abstract

When conducted as a curative procedure, for tumors with a lower pole at least 7 cm from the anal margin, Babcock's operation can avoid the need for a definitive abdominal colostomy in some patients, without compromising the chances of survival. Postoperative care is often longer and more difficult than after abdomino-perineal amputation, but immediate mortality and long-term survival appear to be totally comparable. Functional results are good in most cases, and though some hygienic and dietary restrictions are often necessary, these constitute a more minor handicap than that of an abdominal colostomy. On the contrary, Babcocks operation should not be used as a palliative measure, as important restrictive postoperative conditions on a patient with a short survival prognosis, to obtain a functional result after several months when he will not be able to benefit from it, appears to be unwarranted.

摘要

当作为一种根治性手术进行时,对于下极距肛缘至少7厘米的肿瘤,巴布科克手术在某些患者中可避免进行永久性腹部结肠造口术,且不影响生存几率。术后护理通常比经腹会阴截肢术后的护理时间更长、难度更大,但即时死亡率和长期生存率似乎完全可比。大多数情况下功能结果良好,虽然通常需要一些卫生和饮食限制,但这些带来的不便比腹部结肠造口术要小。相反,巴布科克手术不应作为一种姑息性措施,因为对于生存预后较短的患者,术后会出现重要的限制性状况,而在患者几个月后无法从中受益时才获得功能结果,这似乎是不合理的。

相似文献

1
[Contribution of Babcock's operation to the treatment of rectal cancer. Results in 170 cases (author's transl)].巴布科克手术对直肠癌治疗的贡献。170例病例的结果(作者译)
J Chir (Paris). 1981 Feb;118(2):121-6.
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[Pull-through procedure for carcinoma of the rectum. Results of 65 operations (author's transl)].直肠癌拖出术。65例手术的结果(作者译)
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[Treatment of low rectal cancer by conservative rectal resection after preoperative irradiation. Long term results and prospective study].[术前放疗后行保留直肠切除术治疗低位直肠癌。长期结果及前瞻性研究]
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[Our technic for continent perineal colostomies after the abdominal-perineal amputation of the rectum].[直肠经腹会阴切除术后可控性会阴结肠造口术的技术]
Minerva Chir. 1994 Jan-Feb;49(1-2):27-37.
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[Results of curative and palliative operations of rectum carcinomas (author's transl)].直肠癌根治性手术与姑息性手术的结果(作者译)
Dtsch Z Verdau Stoffwechselkr. 1982;42(2-3):79-84.
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Preservation of the continence function after intersphincteric resection using a prolapsing technique in the patients with low rectal cancer and its clinical prognosis.低位直肠癌患者采用脱垂技术行括约肌间切除术后控便功能的保留及其临床预后
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Early results of intersphincteric resection for patients with very low rectal cancer: an active approach to avoid a permanent colostomy.极低位直肠癌患者行括约肌间切除术的早期结果:一种避免永久性结肠造口术的积极方法。
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Local recurrence after abdomino-perineal resection.腹会阴联合切除术后局部复发
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Excision of the rectum with colonic J pouch-anal anastomosis for adenocarcinoma of the low and mid rectum.低位和中位直肠癌行直肠切除并结肠J袋肛管吻合术。
World J Surg. 1992 May-Jun;16(3):470-7. doi: 10.1007/BF02104450.