摘要
经耻骨入路低位前切除术治疗低位直肠癌34例,疗效满意。作者认为,该术式暴露良好,能保证手术的彻底性,顺利完成吻合。安全远切缘应以3cm为基本长度,但确切长度应以术中冰冻病检结果为准。除肿瘤远端肠管切除不够和盆腔清扫不够彻底外,癌细胞种植亦是局部复发的重要原因,本组有2例于半年内复发(5.8％),5年存活22例(76％)。
Bassed on the analysis of operative procedures for 34 cases of lower rectum carcinoma, the author believes that anterior resection through pubic way can ensure radical resection and anastomosis easyi-ly because of the well exposure. Resection edge 3cm below the lower margin of the carcinoma commonly was required, but the exact margin ought to be decided by freezing pathological observation. Plantation of the carcinoma cell is a important reason for turner recurrence in resection areas. Of all the cases, 2 Patients got recurrence with the recurrence rate of 5.8%, 22 patients survival 5 years with the 5 years suvival rate of 76%.
关键词
经耻骨入路
低位前切除术
低位直肠癌
肿瘤
消化系统
rectal neoplasms
cancer
pelvic exenteration
operation pathway
operations research
