中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (02): 158-159.

• 论著 • 上一篇    下一篇

经内外括约肌间切除术治疗超低位直肠癌23例分析

郭志义，庞明辉，胡 康，李 平   

  1. 四川省人民医院普外三科，四川成都610072
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-03-03 发布日期:2009-03-03

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-03-03 Published:2009-03-03

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摘要：

目的 探讨经内外括约肌间切除术（intersphincteric resection,ISR）治疗超低位直肠癌的应用价值。方法 2005年3月至2007年3月四川省人民医院普外三科对23例病灶下缘距离齿状线≤2cm的超低位直肠癌进行术前评估，行ISR，其中5例进展期直肠癌术前行新辅助化疗。结果 全组无手术死亡，平均随访24个月，均未发现局部复发，1例出现远处肝转移，所有病人术后6个月至1年肛门功能恢复满意。 结论 ISR是一种可选择的治疗超低位直肠癌的根治性保肛方法。

关键词: 经内外括约肌间切除, 直肠癌, 保肛手术

Abstract:

Treatment of intersphincteric resection for ultra low rectal tumor: an analysis of 23 cases GUO Zhi-yi, PANG Ming-hui, HU Kang, et al. Department of the Third General Surgery, Sichuan Provincial People’s Hospital, Chengdu 610072, China Corresponding author：PANG Ming-hui,Ｅ-mail: pangmh2000@163.com Abstract Objective To explore the effect of intersphincteric resection (ISR) as the sphincter-saving procedure for ultra low rectal tumor. Methods From March 2005 to March 2007, 23 ultra low rectal tumor patients whose distal tumor edges were no more than 2cm from the dentate line were evaluated preoperatively. All of them were underwent ISR. Five patients with advanced rectal cancer received preoperative chemo-radiation. Results There was no perioperative death. The average time of follow-up was 24 months. Twenty-three patients showed no evidence of local recurrence. They were satisfied with their fecal control after 6 months. Conclusion ISR is an alternative sphincter-saving procedure for the radical resection of ultra low rectal tumor.

Key words: intersphincteric resection, rectal cancer, sphincter-saving procedure