CAJ | 학술논문

低位直肠癌的手术治疗通常采用经腹会阴联合切除术（ APR），该术式无法保留肛门，不可避免行永久结肠造口，明显改变患者生活习惯。近年经括约肌间切除术（ ISR）成为研究热点，其可实现低位直肠癌的手术根治并保留肛门。该文综述ISR术的背景、类型、适应证、禁忌证、并发症、疗效及对排便功能的影响，发现若病例选择适当，ISR术可能是低位直肠癌手术治疗的新选择。
저위직장암적수술치료통상채용경복회음연합절제술（ APR），해술식무법보류항문，불가피면행영구결장조구，명현개변환자생활습관。근년경괄약기간절제술（ ISR）성위연구열점，기가실현저위직장암적수술근치병보류항문。해문종술ISR술적배경、류형、괄응증、금기증、병발증、료효급대배편공능적영향，발현약병례선택괄당，ISR술가능시저위직장암수술치료적신선택。
Abdominoperineal resection(APR,Miles) is a traditional operation for patients with low rectal cancer.But permanent colostomy is inevitable for such operation and will change the patients′living habits significantly.These years,intersphincteric resection ( ISR) has become a hot topic.ISR can radically resect the neoplasm,meanwhile preserve the anus for the patient with low rectal cancer .Here is to make a review of the background,types,indications,contraindications,complications,oncological outcomes and anal functional assessments of ISR,suggesting ISR may offer an alternative to traditional APR for rectal cancer in selected patients.