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目的探讨Ⅲ期直肠癌前切除术中预防性肠造瘘的最佳还纳时机。方法回顾性分析11例接受预防性肠造瘘的Ⅲ期直肠癌患者的临床资料,分析患者术后盆腔局部复发高危时间和造瘘口还纳的最佳时机。结果 11例患者中有3例患者分别在术后第7、11、13个月发生局部复发和(或)远处转移,其中1例患者在术后第11个月拟行造瘘口还纳时发现盆腔局部复发。结论Ⅲ期直肠癌患者术后局部复发率较高,术后1年后其复发风险显著降低,因此,建议接受预防性肠造瘘的Ⅲ期直肠癌患者在术后1年后再考虑还纳造瘘口。
Objective To investigate the optimal timing of prophylactic intestinal ostomy in resection of stage Ⅲ rectal cancer. Methods The clinical data of 11 patients with stage Ⅲ rectal cancer receiving prophylactic enterocolitis were analyzed retrospectively. The optimal timing of pelvic local recurrence and the cost of wound reconstruction were analyzed. Results Three of the 11 patients had local recurrence and / or distant metastasis at the 7th, 11th and 13th months postoperatively. One of the 11 patients had a fistula at the 11th month after surgery Found pelvic local recurrence. Conclusion The recurrence rate of patients with stage Ⅲ rectal cancer is high, and the risk of recurrence after 1 year is significantly reduced. Therefore, it is recommended that patients with stage Ⅲ rectal cancer receiving prophylactic enterostomy should be considered after 1 year Stoma fistula.