CAJ | 학술논문

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.
대23례행경항문괄약기국부절제적노년직장암환자적림상자료진행회고성분석.수방3～7년,수방솔100%.항문공능정상급량호18례(78%),무대편실금자.술후3년생존솔83%(19/23),5년생존솔78%(18/23).제시,경항문괄약기직장암국부절제,대우노년조、중기중하단직장암환자안전、가행.
Clinical data of 23 elderly patients with rectal cancer undergoing trans-sphincteric 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.