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我科自1981年1月为6名直肠癌患者施行经腹骶直肠切除术。收到较满意效果,现介绍如下: 临床资料男性4例,女性2例,最大年龄57岁,最小22岁。肿瘤距齿状线最近者6cm,最远9cm,其中一男性患者病史2年,肿瘤位于直肠前壁,已累及肠管周径3/4,肠腔仅能通过一指尖,肿块上缘未及,活动度尚可。6例病理均证实为腺癌,切除缘均未见癌组织。6例术后排便功能良好。体会 1.手术治疗直肠癌迄今仍是较好的方法,术式的选择主要根据肿瘤的部位。距齿状线5～10cm的中段直肠癌如保留肛门括约肌或直肠拉出手术操作较复
In January 1981, our department performed trans-abdominal rectal resection for 6 patients with rectal cancer. Received more satisfactory results are now described as follows: Clinical data in 4 males and 2 females, the maximum age of 57 years, the minimum 22 years old. The tumor was 6cm proximal to the dentate line and 9cm distal to the dentate line. The history of a male patient was 2 years. The tumor was located in the anterior wall of the rectum. The diameter of the intestinal tract was 3/4. The intestinal lumen was only able to pass a fingertip, and the upper edge of the tumor was inferior. , activity is acceptable. 6 cases of pathologically confirmed adenocarcinoma, no resection margin cancer tissue. 6 patients had good defecation function after operation. Experience 1. Surgical treatment of rectal cancer has so far been a better method, the choice of surgical methods is mainly based on the location of the tumor. 5 to 10cm from the dentate line of rectal cancer, such as retaining the anal sphincter or rectal pull out surgery more complex