CAJ | 학술논문

近年来,在保证根治性的前提下,保留肛门功能和改善患者的术后生活质量成为低位直肠癌治疗的重要目标.对于距离齿状线小于2 cm或距肛缘5 cm内的超低位直肠癌,传统的腹会阴联合切除术使患者承受永久性造口的痛苦,而内括约肌切除术(ISR)解决了部分超低位直肠癌患者,因切除肛门及永久性造口而导致生活质量较差的问题.本文将对ISR的研究现状、适应症、手术进展及预后等结合现有文献作一综述.
근년래,재보증근치성적전제하,보류항문공능화개선환자적술후생활질량성위저위직장암치료적중요목표.대우거리치상선소우2 cm혹거항연5 cm내적초저위직장암,전통적복회음연합절제술사환자승수영구성조구적통고,이내괄약기절제술(ISR)해결료부분초저위직장암환자,인절제항문급영구성조구이도치생활질량교차적문제.본문장대ISR적연구현상、괄응증、수술진전급예후등결합현유문헌작일종술.
In recent years,sphincter preservation and improvement of quality of life have become the primary goals in the management of low-lying rectal cancer.For lesions within 2 cm from the dentate line or more than 5 cm from the anal margin,abdominoperineal resection results in permanent stoma creation while intersphincteric resection (ISR) provides solution to sphincter function preservation and improved quality of life.This review was to summarize the current literature pertaining to this procedure,including current research progress,indications,development of ISR procedure,oncological and functional outcomes.