39例老年低位直肠癌患者保肛根治术体会

Experience of Low Rectal Cancer Radical Operation Anus in 39 Cases of Elderly Patients

目的探讨老年低位直肠癌患者行保肛根治术的临床应用。方法对2003年6月～2008年12月间收治的低位直肠癌行保肛术的39例病人进行回顾性分析。结果术后发生吻合口瘘2例,经保守治疗而愈;吻合口癌肿复发5例,均发生在术后8个月～2年,其中属Duke'sC期3例,B2期2例。所有患者于2周内均能达到排便自控,其排便功能于术后0.5～1年恢复正常,大便次数略多于正常,为2～3次/d。结论保肛术是治疗中、下段直肠癌的一种合理术式,根治效果与排便功能令人满意。

Objective To explore the clinical applicatione of radical mastectomy for elderly patients with low rectal cancer anus. Methods From June 2003 to December 2008,39 patients with low rectal cancer were retrospectively analyzed. Results Postoperative anastomotic leakage occurred in 2 cases,they were treated with the more conservative treatment. Anastomotic recurrence of cancer cases occurred in 5 patients after 2 months to 8 years. Three cases of them are affiliated to Duke＇sc period. All patients in the 2 weeks of self-control can reach the bowel, the bowel function in 0.5 - 1 year after return to normal, slightly more than the normal frequency of stool for 2 or 3 times/d. Conclusion Treatment with sphincter-saving surgery are the middle and lower rectal cancer surgery are reasonable,radical bowel function and satisfactory results.