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目的 :探讨 Babcock- Black术作为保留肛门的直肠癌切除术的可行性及效果。方法 :对 14例行 Babcock- Black术的资料进行分析。结果 :14例老年患者无手术死亡及并发症 ,术后 6周内全部恢复了肛门的节制功能 ,并保留了患者的便意及辨别能力。 2例术后 1年原位复发 ,3年生存率 79%。结论 :Babcock- Black术适合老年、肿瘤恶性程度较低并迫切要求保留肛门的中低位直肠癌患者。
Objective: To explore the feasibility and effect of Babcock-Black as an anus rectal cancer resection. Methods : Analysis of 14 cases of Babcock-Black. RESULTS: There were no operative deaths and complications in 14 elderly patients. All the anal control functions were restored within 6 weeks after operation, and the patient’s intention and discerning ability were retained. Two cases had recurrence in situ within 1 year and the 3-year survival rate was 79%. Conclusion : Babcock-Black is suitable for middle-low rectal cancer patients who have older age, lower degree of malignancy, and urgent need to retain the anus.