低位直肠癌直肠系膜全切除保肛手术临床分析

Clinical Analysis on Total Mesorectal Excision of Sphinter-saving Operation in Low Rectal Cancer

[目的]探讨低位直肠癌保肛手术中直肠系膜全切除的疗效。[方法]分析1995年～2000年132例低位直肠癌行直肠系膜全切除的疗效、局部复发及并发症的治疗和预防。[结果]局部复发11例 (8.3 % ) ,吻合口瘘8例 (6% ) ,吻合口狭窄16例 (12.1% ) ,3年生存率82.5% (108/132) ,5年生存率61.3% (81/132)。[结论]直肠系膜全切除在低位直肠癌保肛手术效果满意 ,是治疗低位直肠癌 。

To investigate the therapeutic effect for sphincter_saving operation of total mesorectal excision in low rectal cancer.From1995 to 2000, 132 cases with low rectal cancer for sphincter_saving operation of total mesorectal excision were analyzed for therapeutic effect,local recurrence, treatment and prevention of complication.Eleven cases(8.3%) with local recurrence,8 cases (6%) with anastomotic leakage,16 cases (12.1%) with anastomotic constriction were reported.3_year survival rate was 82.5%(108/132), 5_year survival rate was 61.3%(81/132).[Conclusion]The effect of sphincter_saving operation with total mesorectal excision is perfect in 132 cases with low rectal cancer. It is the primary operation style in treatment of low rectal cancer and prevention of local recurrence.