全直肠系膜切除治疗直肠癌

TOTAL MESORECTAL EXCISION FOR RECTAL CANCER

目的 介绍全直肠系膜切除治疗直肠癌的手术方法及治疗效果。方法 文献综述。结果 采用全直肠系膜切除方法治疗直肠癌 ,其局部复发率由 2 0 %～ 30 %下降至 3 %～ 8% ,5年生存率达 75 % ,并使保肛机率增加。结论 直肠癌手术中采用全直肠系膜切除能降低直肠癌患者局部复发率 ,提高生存率 ,改善生存质量 ,值得推广。

Objective\ To introduce the surgical technique and results of total mesorectal excision (TME) for rectal cancer. Methods Reviews.Results As a result of TME, local recurrence rates have declined from 20%-30% to 3%-8%, 5 year survival rate have risen to 75%, and the rates of sphincter preservation have risen too.Conclusion Total mesorectal excision reduces the local recurrence rates and raise the survival figures after excision of rectal cancer. Patients have a high quality of life.