CAJ | 학술논문

目的探讨直肠癌经肛门拖出低位切除术的临床价值及癌肿沿肠壁远端转移的影响因素.方法前瞻性分析43例经肛门拖出低位切除术治疗的直肠癌患者的临床、病理及随访资料,并对数据进行统计学处理.结果成功施行经肛门拖出低位切除术41例(95.3%),无一例并发吻合口漏,3例术后局部复发.高、中分化与低分化直肠癌距远端阴性切缘的平均长度差异有统计学意义,但高、中分化间差异无统计学意义,不同Dukes分期距阴性切缘的平均长度差异均有统计学意义.结论高、中、低分化和Dukes A、B、C期的远端直肠癌肠管合理切除长度应分别不少于2.0、3.0、4.0 cm,经肛门拖出低位切除术可以作为常规的直肠癌根治性切除术式.
목적 탐토직장암경항문타출저위절제술적림상개치급암종연장벽원단전이적영향인소.방법 전첨성분석43례경항문타출저위절제술치료적직장암환자적림상、병리급수방자료,병대수거진행통계학처리.결과 성공시행경항문타출저위절제술41례(95.3%),무일례병발문합구루,3례술후국부복발.고、중분화여저분화직장암거원단음성절연적평균장도차이유통계학의의,단고、중분화간차이무통계학의의,불동Dukes분기거음성절연적평균장도차이균유통계학의의.결론 고、중、저분화화Dukes A、B、C기적원단직장암장관합리절제장도응분별불소우2.0、3.0、4.0 cm,경항문타출저위절제술가이작위상규적직장암근치성절제술식.
Objective To explore the value of low resection of rectal carcinoma in pull-through anus operation and its influence factor with rectal carcinoma distant metastases along intestine wall.Method Clinical pathological and visited data of 43 patients with rectal carcinoma were analyzed prospectively.Resuits Forty--one cases were successfully accepted resection in pull-through anus (95.3%).No patient suffered from stoma leak,3 cases appeared recurrence after operation.Compared between high differentiation patients and mid differentiation patients,there was no significant difference, while the difference of comparing between high or mid differentiation patients and low differentiation patients respectively,there was significant difference.The difference of comparison among Dukes stage A,B or C was significant.Conclusions The right length of incising distant intestine tube is more than 2.0,3.0,4.0 cm respectively for rectal careinoma of high,mid and low differentiation or that of Dukes stage A,B or C.low resection of rectal carcinoma in puB-through anus should be considered as a regular operation.