直肠癌术式的选择

Choosing of Operative Style for Rectal Cancer

针对直肠癌术式选择存在的问题和争议进行思考,探讨保肛手术的原则,淋巴结的合理清扫,分析保留盆腔植物神经和侧方淋巴结的清扫的意义,指出应辨证看待腹腔镜直肠癌根治术。直肠癌手术的发展史,就是人们追求根治与保存机能相互对立统一的发展过程,对于每一例直肠癌病人,都潜在一个恰如其份的手术根治的方案,这正是术式选择的最高境界。

Thinking on the problems and controversy of the chording of operative style for rectal caner, investigate principle of anus preservation surgery and lymph node excision, make an analysis of the significance of pelvic autonomic never preservation and side way lymph node cleaning and indicate that we should positively regard the clinical evaluation of laparoscopic resection of rectal cancer operative. The developing history of rectal caner operative is the process that people seek cleaning and preserving function antithetically. To every case of rectal caner, there is a suitable project of operative cleaning, which is the best realm the choosing of operative style.