Petrelli N J, Nagel S, Rodriguez-Bigas M, Piedmonte M, Herrera L
Roswell Park Cancer Institute, Department of Surgical Oncology and Endoscopy, Buffalo, New York 14263.
Am Surg. 1993 Jul;59(7):400-4.
From 1979 through 1986, 56 patients, 38 males (68%) and 18 females (32%), underwent an abdominoperineal resection with a wide perineal dissection for primary adenocarcinoma of the rectum. The open perineal wounds required a mean time of 6 months to completely heal. Estimated blood loss by the surgeon ranged from 200 ml to 4200 ml with a mean of 1112 ml and a median of 1000 ml. Twenty-six patients (46%) developed postoperative or intraoperative complications. Nineteen patients (34%) underwent incidental surgery with no associated morbidity. The most commonly occurring complication was impotence in 69% of male patients. The next most common complication was bladder dysfunction with urinary retention in 14 patients (25%) and urinary incontinence in five patients (9%). There were two postoperative deaths (4%). Although the morbidity was significant, greater than 90% of the complications were treatable and resolved without major sequellae.
1979年至1986年期间，56例患者接受了腹会阴联合切除术及广泛的会阴清扫术，以治疗原发性直肠癌，其中男性38例（68%），女性18例（32%）。开放性会阴伤口平均需要6个月才能完全愈合。外科医生估计的失血量在200毫升至4200毫升之间，平均为1112毫升，中位数为1000毫升。26例患者（46%）出现术后或术中并发症。19例患者（34%）接受了意外手术，未出现相关发病率。最常见的并发症是69%的男性患者出现阳痿。第二常见的并发症是膀胱功能障碍，14例患者（25%）出现尿潴留，5例患者（9%）出现尿失禁。有2例术后死亡（4%）。尽管发病率较高，但超过90%的并发症是可治疗的，且未留下严重后遗症而得以解决。
