CAJ | 학술논문

当前,保肛手术已成为直肠癌的首选术式.究竟有多少是应该选作保肛手术?又有多少不适宜施行保肛手术?笔者旨在阐述在临床上应该如何正确对患者选择实施保肛手术:首先,应在术前作全面评估；然后,根据检查结果严格按照美国国立癌症综合网络(NCCN)直肠癌实践指南规定来决定手术指征;同时,必须按照根治与保功能这两方面的要求来选用手术方式.总之,对直肠癌选作保肛手术必须达到根治性切除和功能良好双满意的目的.这是推行直肠癌保肛手术规范化实施的原因.
당전,보항수술이성위직장암적수선술식.구경유다소시응해선작보항수술?우유다소불괄의시행보항수술?필자지재천술재림상상응해여하정학대환자선택실시보항수술:수선,응재술전작전면평고；연후,근거검사결과엄격안조미국국립암증종합망락(NCCN)직장암실천지남규정래결정수술지정;동시,필수안조근치여보공능저량방면적요구래선용수술방식.총지,대직장암선작보항수술필수체도근치성절제화공능량호쌍만의적목적.저시추행직장암보항수술규범화실시적원인.
Spbincter preservation resection has been the first choice for rectal cancer,not only for high and midrectal cancer,but also for low rectal cancer.Were sphincter preservation resection indicated and suitable for all of the patients with rectal cancer? The aim of this paper is to discuss when sphincter preservation resection should be chosen? Firstly we should have a thorough preoperative assessment for the patients.After that we should determine the indications of sphincter preservation resection according to the NCCN guideline.Meanwhile, surgical approach should be balanced between long term survival and functional outcomes.As a result,what is most important in sphincter preservation resection is reaching satisfaction both in curative resection and functional outcomes.These are also the reasons for rational utilization of sphincter preservation resection for rectal cancer.