直肠癌的手术方法选择与围手术期处理

Surgical modality selection and perioperative management of rectal cancer

目的比较全直肠系膜切除术与传统标准手术治疗直肠癌的疗效。方法对59例患者采用全直肠系膜切除术,20例患者采用传统手术方法治疗,术后均定期化疗随访,并比较两组患者的5年生存率。结果两组病人随访1-5年,采用全直肠系膜切除术组随访51例,5年生存率为98.04%;对照组随访18例,5年生存率为88.88%。结论采用全直肠系膜切除术治疗直肠癌可提高5年生存率,术后加强围手术期管理,可减少并发症。

Objective To compare the efficacy of total mesorectal excision and traditional surgical intervention in 79 cases of rectal cancer. Methods 59 patients were performed total mesorectal excision, and 20, traditional surgical treatment. Regular postoperative chemotherapy and followed up were conducted. Results All patients were followed up for 1-5 years. The 5-year survival rate was 98. 04% in total mesorectal excision group, and 88. 88% in the control group. Conclusion The results indicate that total mesorectal excision for the treatment of rectal cancer can significantly improve the 5-year survival rate. Postoperative complications can be diminished obviously through strengthening the perioperative management.