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直肠癌前切除术既能切除癌肿,又能保留肛门括约肌,这种手术能避免永久性人工肛门,给病人带来生活上的方便。因而较 Miles氏手术为佳。我们采用耻骨楔形切除,使整个直肠暴露直至肛门括约肌。在直视下施行癌肿切除和吻合术已获成功。对此低位前切除术国内尚未见报道。兹结合病例介绍如下。
Rectal cancer anterior resection can not only remove cancer, but also retain the anal sphincter, this surgery can avoid permanent artificial anus and bring convenience to the patient. It is better than Miles’ surgery. We used a pubic wedge resection to expose the entire rectum to the anal sphincter. Performing cancer resection and anastomosis under direct vision has been successful. There has been no report on this low-level anterior resection. Here is a brief introduction of the case.