改良Soave＇s手术治疗直肠癌及远期疗效

Treatment and the Long-term Result of Rectal Cancer with Modified Soave' s Operation

报告１６例（１９７９～１９９２年）男１０例，女６例。肿瘤位于直肠中偏下９例，低位７例。肿瘤均未超过肠管半圈，按Ｄｕｋｅｓ改良法分期：Ａ３３例，Ｂ期９例，Ｃ１４例。腺癌１２例，绒毛状腺瘤癌变４例。术后感染等并发症６例。１６例全部得到随访。１９９４年１月以前死亡６例，其中２例死于非癌，和同期Ｍｉｌｅ＇ｓ手术相比，３、５、１０年生存率分别为６８．７％，７９．４％，５０．０％，５３．７％，３３．３％，２３．３％。二组生存率相似。

Sixteen cases of rectal cancer were treated form 1979-1992 with 10 males and 6 females. The tumors were located at lower and middle portions of rectum in 9, while in 7 cases, the tumors were confined at the lower part of the rectum. Not one was there that the tumor involved more than half of the circumference of the rectum. According to the modified Dukes' staging, there were 3 cases of A3, 9of B and 4 of C stage of disease. There were 12 cases with adenocarcinoma and 4cases with canceration of villous adenoma in histology. Six cases had postoperative complications, infection being the most frequent. The follow-up observation was achieved in all. Six patients were dead before January 1994 with 2 of whom died of other diseases.The 3-,5- and 10-year survival rates were 68. 7%, 50. 0%, 33. 3%respectively. Comparing with Mile' s operation, there was not much difference between the two methods.