Groebli Y, Tschantz P
Hôpital des Cadolles, Neuchâtel.
Helv Chir Acta. 1994 Apr;60(4):599-604.
The posterior approach to the low and mid-rectum is a good and anatomical way to treat high fistulas' problems, perirectal tumors and villous adenoma. It is also possible to treat by this method some rectal adenocarcinomas in special situations and in high-risk patients. A good evaluation of the disease if possible by rectal endosonography, has to be done. Coccygectomy is necessary but the transsphincteric route is not mandatory and has never been used here. 9 cases are reported with relatively good results.
低位和中位直肠的后路手术是治疗高位肛瘘、直肠周围肿瘤和绒毛状腺瘤的一种良好且符合解剖学的方法。在特殊情况和高危患者中，也可以通过这种方法治疗一些直肠腺癌。如有可能，必须通过直肠内超声对疾病进行良好评估。尾骨切除术是必要的，但经括约肌途径并非必需，且此处从未使用过。本文报告了9例病例，结果相对良好。
