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作者介绍一种经腹低位直肠癌根治性切除,保留肛门、乙状结肠拖下固定术式。9年来共施行手术102例,占同期低位直肠癌(肿瘤下缘距齿线2cm~8cm)手术总数的86.4%(102/118)。术后2年肿瘤复发率为7.7%,术后5年生存率为65.5%。术后8周、12周和半年内完全恢复肛门自控排便功能者分别占86%、99%、100%。肛门功能恢复程度均属优良。作者对此术式的特点,并根据手术疗效对保留肛门功能的合理性及其根治性进行讨论。
The authors introduced a radical resection of low rectal cancer in the abdomen and retained the anus and sigmoid colon. In the past 9 years, a total of 102 operations were performed, accounting for 86.4% (102/118) of the total number of operations for low rectal cancer (2cm to 8cm from the lower edge of the tumor) in the same period. The tumor recurrence rate was 7.7% after 2 years and 65.5% after 5 years. 80%, 99%, and 100% of patients who fully regained anal defecation function within 8 weeks, 12 weeks, and 6 months after surgery, respectively. The recovery of anal function was excellent. The author discusses the characteristics of this surgical procedure, and discusses the rationality and curative effect of the preservation of the anus based on the efficacy of the operation.