CAJ | 학술논문

目的探讨全直肠系膜切除(TME)在低位直肠癌保肛根治术中的临床应用价值.方法对45例低位直肠癌患者采用Heald法施行全TME保肛术的临床资料进行回顾性分析.结果 45例中无死亡病例;术后吻合口漏2例,吻合口出血2例;41例患者获随访,随访率为91.1%;吻合口局部肿瘤复发4例,复发率8.9%,5年生存率70.5%.结论低位直肠癌的保肛要完全遵照全直肠系膜切除原则,必须严格选择病例,保证手术效果,最大限度保留排便功能;吻合13漏是低位直肠癌保肛术主要并发症之一;不主张不管肿瘤的分期而一味追求保留肛门.
목적 탐토전직장계막절제(TME)재저위직장암보항근치술중적림상응용개치.방법 대45례저위직장암환자채용Heald법시행전TME보항술적림상자료진행회고성분석.결과 45례중무사망병례;술후문합구루2례,문합구출혈2례;41례환자획수방,수방솔위91.1%;문합구국부종류복발4례,복발솔8.9%,5년생존솔70.5%.결론 저위직장암적보항요완전준조전직장계막절제원칙,필수엄격선택병례,보증수술효과,최대한도보류배편공능;문합13루시저위직장암보항술주요병발증지일;불주장불관종류적분기이일미추구보류항문.
Objective To investigate the clinical value of total mesorectal excision (TEM) in anal preservation operation to low rectal cancer patients. Methods The data of 45 low rectal cancer patients underwent TME anal preservation operation in hospital were analyzed retrospectively. Results No patient died. 2 cases stomal leak and 2 cases stomal bleeding were found after operation. Stomal recurrence occurred in 4 cases with the recurrence rate of 8.9%. The 5-year survival rate was 70. 5%. Conclusions TEM operation principle should be stricktly complied in anal preservation operation to low rectal carcinoma. The stomal leak is the most common complication. Pursuing anal preservation operation regardless of tumour stage is not advocated.