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直肠癌全直肠系膜切除术60例临床分析 被引量:5

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摘要 目的:探讨全直肠系膜切除术(total mesorectal excision,TME)治疗直肠癌的疗效。方法:对我院收治的60例距肛门约5~8cm的直肠癌患者行TME,对其疗效及主要并发症进行分析。结果:全组患者无死亡,其中48例存活5年以上,术后吻合口瘘2例,吻合口出血2例,经保守治愈,吻合口狭窄2例,经定期扩肛治愈,骶前大出血1例,局部复发2例,吻合口复发1例,排便不适25例,性功能障碍1例,肝转移2例。结论:TME直肠癌根治术能够降低局部复发率、提高生存率、提高生活质量,应作为治疗中低位直肠癌的金标准。
作者 周强
出处 《现代医药卫生》 2011年第8期1179-1180,共2页 Journal of Modern Medicine & Health
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  • 1Ponz de Leon M, Sant M, Micheli A, et al. Clinical and pathologic prognostic indicators in colorectal cancer. A population-based study. Cancer, 1992, 69: 626-635.
  • 2Quirke P, Durdey P, Dixon MF, et al. Local recurrence of rectal adenocarcinoma due to inadequate surgical resection.Histopathological study of lateral tumour spread and surgical excision. Lancet, 1986, 2: 996-999.
  • 3Bruch HP, Schwandner O, Schiedeck TH, et al. Actual standards and controversies on operative technique and lymph-node dissection in colorectal cancer. Langenbecks Arch Surg, 1999,384: 167-175.
  • 4Wong JH, Bowles B J, Bueno R, et al. Impact of the number of negative nodes on disease-free survival in colorectal cancer patients. Dis Colon Rectum, 2002, 45: 1341-1348.
  • 5Scott KW, Grace RH. Detection of lymph node metastases in colorectal carcinoma before and after fat clearance. Br J Surg,1989, 76: 1165-1167.
  • 6Wibe A, Rendedal PR, Svensson E, et al. Prognostic significance of the circumferential resection margin following total mesorectal excision for rectal cancer. Br J Surg, 2002, 89: 327-334.
  • 7Cawthorn SJ, Gibbs NM, Marks CG. Clearance technique for the detection of lymph nodes in colorectal cancer. Br J Surg, 1986,73: 58-60.
  • 8Koren R, Siegal A, Klein B, et al. Lymph node-revealing solution:simple new method for detecting minute lymph nodes in colon carcinoma. Dis Colon Rectum, 1997, 40: 407-410.

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