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目的 探讨中下段直肠癌局部切除的途径和方法。方法 对近 10年来采用Mason手术作局部切除的 30例中下段直肠癌病例进行分析。结果 Tis期癌 5例 ,T1期癌 13例 ,T2 期癌 10例 ,T3 期癌 2例。所有标本切缘经病理检查未发现癌残留。平均随访期为 5 2个月。 5年存活率为 93%。目前未发现癌复发病例。结论 Mason手术应作为中下段直肠癌局部切除术的首选术式。
Objective To explore the methods and methods of local resection of middle and lower rectal cancer. Methods A total of 30 patients with middle and lower rectal cancer who underwent local resection using Mason surgery in the past 10 years were analyzed. Results There were 5 cases of Tis stage cancer, 13 cases of T1 stage cancer, 10 cases of T2 stage cancer, and 2 cases of T3 stage cancer. All specimen specimens were found to have no cancer residue after pathological examination. The average follow-up period was 52 months. The 5-year survival rate is 93%. No cases of cancer recurrence have been found. Conclusion Mason surgery should be used as the first choice for local resection of rectal cancer.