Türler A, Schäfer H, Pichlmaier H
Dept. of Surgery, University of Cologne, Germany.
Scand J Gastroenterol. 1997 Jan;32(1):58-61. doi: 10.3109/00365529709025064.
Palliative, minimal invasive treatment of rectal cancer is advocated in patients with advanced and incurable disease or poor clinical condition and in those who refuse radical surgery. Several methods have been used during recent years. We report our experience with palliative transanal endoscopic microsurgery.
Between 1983 and 1995, 29 patients underwent transanal endoscopic microsurgery for palliation. Eleven patients had advanced malignant disease, nine were in poor clinical condition, and nine repeatedly refused radical surgery.
Intraoperatively one severe complication, an intra-abdominal perforation, occurred. The morbidity rate was 14%. Postoperatively, clinical signs were abolished or improved in all cases. Only three patients required further palliative resections after initial symptom relief.
Transanal endoscopic microsurgery is a successful approach in the palliative treatment of rectal cancer. The technique enables complete resection of rectal tumors. Although anesthesia is needed, the morbidity is low, even in patients with poor clinical condition.
对于患有晚期、无法治愈的疾病或临床状况较差以及拒绝根治性手术的直肠癌患者，提倡采用姑息性、微创治疗方法。近年来已采用了多种方法。我们报告我们在姑息性经肛门内镜显微手术方面的经验。
1983年至1995年间，29例患者接受了经肛门内镜显微手术以缓解症状。11例患者患有晚期恶性疾病，9例临床状况较差，9例反复拒绝根治性手术。
术中发生1例严重并发症，即腹腔内穿孔。发病率为14%。术后，所有病例的临床症状均消失或改善。仅3例患者在初始症状缓解后需要进一步的姑息性切除。
经肛门内镜显微手术是直肠癌姑息治疗的一种成功方法。该技术能够完整切除直肠肿瘤。尽管需要麻醉，但发病率较低，即使是临床状况较差的患者。
