论文部分内容阅读
早期侵入性直肠癌作根治性局部切除为一行之有效的手术,但选择标准尚不明确.本文报告16例直肠癌经肛管作根治性局部切除,并与Dukes A期肿瘤病人作广泛性切除后,长期随访作比较.病人和方法:1950～1980年作1338例直肠癌手术.16例(1.2%)侵入性癌(穿透粘膜肌层)行根治性局部切除.平均年龄60.9岁.直肠上段癌4例(距肛缘11～18cm),直肠中段癌6例(距肛缘6～11cm),直肠下段癌6例(距肛缘6cm内).268例Dukes A期直肠癌行根治性切除(腹会阴联合切除、前切除或拖出术).平均年龄59.9岁.
Early radical invasive resection of rectal cancer is a line of effective surgery, but the selection criteria are not yet clear. This article reports 16 cases of rectal cancer through the anal canal for radical resection and extensive resection with Dukes A stage tumor patients. After long-term follow-up comparisons. Patients and Methods: 1338 cases of rectal cancer from 1950 to 1980. 16 cases (1.2%) of invasive cancer (through mucosal muscularis) undergo radical resection. Mean age 60.9 years. Rectum. 4 cases of upper segment carcinoma (11 to 18cm from the anal margin), 6 cases of rectal carcinoma (6~11cm from the anal margin), 6 cases of rectal cancer (6cm from the anal verge). 268 cases of DukesA stage rectal cancer were radical Resection (abdominal perineal resection, anterior resection or pull-out surgery). The average age is 59.9 years.