Mason手术治疗老年直肠癌23例

A report of 23 cases of middle and low rectal carcinoma in the elderly treated with trans-sphincteric local resection （ Mason＇ s operation）

对23例行经肛门括约肌局部切除的老年直肠癌患者的临床资料进行回顾性分析。随访3-7年，随访率100％。肛门功能正常及良好18例（78％），无大便失禁者。术后3年生存率83％（19／23），5年生存率78％（18／23）。提示，经肛门括约肌直肠癌局部切除，对于老年早、中期中下段直肠癌患者安全、可行。

Clinical data of 23 elderly patients with rectal cancer undergoing trans-sphinctenc local resection （TSLR, Mason＇ s operation） were retrospectively analyzed. All the 23 patients were followed-up for three to seven years after operation, 18 with normal or good fecal continence （78%）, five just in fair condition （22%） and none in fecal incontinence. Three-year survival was 83 percent （19/23） and 5-year survival was 78 percent （18/23） for them. It is suggested that TSLR is a safe, feasible and effective treatment for middle and low rectal cancer in the elderly with a long term survival and satisfactory quality of life.