中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (04): 300-302.

• 专题笔谈 • 上一篇    下一篇

从解剖学角度谈中低位直肠癌术式选择

顾 晋，杜长征   

  1. 北京大学临床肿瘤学院 北京肿瘤医院暨北京市肿瘤防治研究所胃肠外二科、恶性肿瘤发病机制及转化研究教育部重点实验室，北京100142
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-04-03 发布日期:2009-04-03

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-04-03 Published:2009-04-03

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摘要：

直肠癌在我国是最常见的恶性肿瘤之一，其中大约70%的肿瘤是中低位直肠癌。在过去的几十年中，放射治疗以及近来出现的放化疗与外科手术结合共同成为直肠癌治疗的主要手段.基于解剖的直肠癌根治术，包括了直肠癌的血管结扎，盆腔自主神经的保留，以及淋巴结的清扫和标准的全直肠系膜切除术，以及保留肛门括约肌的手术选择。

关键词: 直肠癌, 盆腔解剖

Abstract:

Decision-making on surgical therapy of low-third rectal cancer based on anatomy GU Jin，DU Chang-zheng. Peking University School of Oncology, Beijing Cancer Hospital &Institute，Beijing100142,China Corresponding author:GU Jin, E-mail:zlguj@yahoo.com.cn Abstract Rectal cancer is one of the most common cancers, and 75% locate at low-third rectum. Surgery is predominant therapy for rectal cancer. During the past decades,radiotherapy and more recently radiochemotherapy have been increasingly used together with surgery in the primary management of patients with rectal caner. Radical procedure of rectal cancer based on anatomy involves vascular ligation, pelvic autonomic nerve preservation(PANP), lymph nodes resection, total mesorectal excision(TME) and sphincter preservation.

Key words: rectal cancer , pelvic anatomy