CAJ | 학술논문

直肠癌是我国常见的恶性肿瘤之一,发病率逐年上升.其中,低位直肠癌的治疗方式主要为以外科手术为主的综合治疗.治疗的理念也发展为不仅要根治肿瘤,还要尽量保留肛门和泌尿生殖功能,提高生活质量.通过提高低位直肠癌术前分期准确度、新辅助治疗,并遵循全直肠系膜切除原则,能够提高手术切除率,降低手术并发症发病率,提高保肛率,降低术后局部复发率,延长生存时间.随着医学技术的发展,低位直肠癌的微创治疗得到迅速发展.本文就低位直肠癌外科治疗新进展进行综述.
직장암시아국상견적악성종류지일,발병솔축년상승.기중,저위직장암적치료방식주요위이외과수술위주적종합치료.치료적이념야발전위불부요근치종류,환요진량보류항문화비뇨생식공능,제고생활질량.통과제고저위직장암술전분기준학도、신보조치료,병준순전직장계막절제원칙,능구제고수술절제솔,강저수술병발증발병솔,제고보항솔,강저술후국부복발솔,연장생존시간.수착의학기술적발전,저위직장암적미창치료득도신속발전.본문취저위직장암외과치료신진전진행종술.
Rectal cancer is one of the common malignant tumors in China,and the incidence rate is rising year by year.Comprehensive treatment based on surgical operation is the major treatment of low rectal cancer.The treatment concept requires not only radical resection of tumor,but also preservation of the anal and urogenital function,to improve the quality of patients' life.By improving the accuracy of preoperative staging of rectal cancer,neoadjuvant therapy,and following the principle of total mesorectal excision,patients can benefit in terms of increased resection rate,decreased operation complication incidence,increased sphincter preservation,decreased local recurrence and increased overall survival rate.With the development of medical technology,minimally invasive surgery of low rectal cancer has been developed rapidly.In this paper,new progress in the surgical treatment of low rectal cancer will be reviewed.