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目的 探讨折刀位直肠癌切除保肛术的临床应用价值。方法 对 2 6例低位直肠癌患者采用折刀位后路直视下肿瘤切除、腹膜外直肠吻合术。结果 全组病例术后肛门排便功能满意 ,无手术死亡。术后切口感染 2例 ,手术并发症发生率为 7.6 9%。结论 距肛缘 4～ 7cm的直肠肿瘤可以经骶尾后路在直视下从容切除并行腹膜外吻合 ,术式简捷、方便、安全 ,术后保留了肛门排便功能 ,提高了病人的生存质量。
Objective To investigate the clinical value of knife-rectal cancer resection for anus preservation. Methods Twenty-six patients with low rectal cancer underwent open reduction and extraperitoneal rectal anastomosis under direct vision. Results All patients were satisfied with anal defecation and no operative death occurred. Postoperative incision infection in 2 cases, the incidence of surgical complications was 7.6%. Conclusions The rectal tumor located 4 ~ 7cm from the anal verge can be removed and resected parallelly by the posterior sacrococcygeal pathology. The operation method is simple, convenient and safe. The anal defecation function is preserved and the quality of life of patients is improved.