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直肠癌术后骶前常留有残腔,导致感染,长期不能愈合。1993年～1996年我们在Miles术中采用改良式带蒂大网膜骶前移植,填充残腔的方法,治疗低位直肠癌32例,收到了良好的效果,报告如下。 1 资料与方法 本组32例病人癌肿均位于直肠下段,其中男性17例,女性15例,年龄19～70岁。全组病人均经病理证实,按Duke’s分期,病变为A期10例,B期16例,C期6例。 手术方法:Miles术中,在切断乙状结肠之前游离大网膜,一般切断胃网膜左动脉,自胃大弯左侧向
Rectal cancer often has residual cavity before surgery, leading to infection and can not heal for a long time. From 1993 to 1996, we used the improved pedicled omentum transplantation in the Miles operation to fill the residual cavity and treat 32 cases of low rectal cancer. Good results were obtained. The report is as follows. 1 Materials and Methods In this group of 32 patients were located in the lower rectum cancer, including 17 males and 15 females, aged 19 to 70 years old. All patients were confirmed by pathology. According to Duke’s staging, the lesions were 10 cases in stage A, 16 cases in stage B, and 6 cases in stage C. Surgical procedure: During Miles’ operation, the omentum is dissociated before the sigmoid colon is severed, and the left omental artery is usually severed.