直肠癌全直肠系膜切除术107例临床分析

Analysis of 107 cases of total mesorectal excision for rectal cancer

目的探讨直肠癌全直肠系膜切除法在直肠癌中的应用。方法回顾性分析107例直肠癌患者行全直肠系膜切除的临床资料。本组病例行Miles术式18例;Dixon术式89例,其中76例使用吻合器吻合。结果全组术中出血100-150ml,术中术后均无输血。术后发生吻合口瘘3例,占2.8%。性功能障碍1例,占0.93%。排尿功能障碍1例,占0.93%。术口感染12例,占11.21%。随访6-42个月,局部复发率4.67%(5/107)。结论直肠癌全直肠系膜切除术,对提高直肠癌术后患者生存质量和生活质量确有裨益。

Objective To approach the clinical application of total mesorectal excision for rectal cancer. Methods From October 2002 to October 2006, 107 cases with rectal cancer received total mesorectal excision were analyzed retrospectively. The Miles procedure was performed in 18 cases. The Dixon procedure was performed in 89 cases and among them, anastomat was used in 76 cases. Results Intraoperative bleeding was 100 to 150 ml and there was no blood transfusion in infection. With follow-up time was from 6 to 42 months,the local recurrence rate was 4.67%（5/ 107）. Conclusion Total mesorectal excision of rectal cancer has a confirmed benifit for improving patients quality of survival and life after operation.