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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。

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