Pélissier E P, Bosset J F, Arbez-Gindre F, Bourgeois P, Machmouchi R
Clinique Saint-Vincent, Besançon.
Chirurgie. 1993;119(8):452-6.
Fifty five cases of rectal resection with colo-anal anastomosis are reported. There were 51 cases of cancer and 4 cases of large villous adenoma. The mean distance between tumor and anal verge was 6.4 +/- 1.1 cm (2-8). The mean resection margin was 29.1 +/- 14.6 mm (0-60). The resection was macroscopically complete in 45 cases of cancer distributed as follows: Dukes stage A = 14, stage B = 12 and stage C = 19. Nine (16.4%) postoperative complications occurred; among four (7.3%) anastomotic fistulas, three were treated by colostomy prolongation and one by abdomino-perineal resection. Thirteen (28.9%) recurrences occurred, of which three (6.7%) were local recurrences. The actuarial five years survival rates was 63%.
报告了55例直肠切除结肠肛管吻合术的病例。其中癌症51例，大绒毛状腺瘤4例。肿瘤距肛缘的平均距离为6.4±1.1厘米（2 - 8厘米）。平均切缘为29.1±14.6毫米（0 - 60毫米）。45例癌症患者的切除在宏观上是完整的，分布如下：杜克分期A期 = 14例，B期 = 12例，C期 = 19例。发生了9例（16.4%）术后并发症；在4例（7.3%）吻合口瘘中，3例通过延长结肠造口术治疗，1例通过腹会阴切除术治疗。发生了13例（28.9%）复发，其中3例（6.7%）为局部复发。精算五年生存率为63%。
