摘要
为探讨低位直肠癌保肛术式的选择，对157例低位直肠癌保肛术的经验予以总结。在前切除术中，于肿瘤下方置直角钳，经肛门冲洗直角钳以下肠管。如直角钳下方的肠管≥2cm，采用双吻合器技术；直角钳下方的肠管〈2cm，则行Parks术或改良Bacon术。结果表明，对基底距肛缘6cm以上的低位直肠癌可行双吻合器手术，对基底距肛门6cm以内的低位直肠癌，宜行Parks术或改良Bacon术。
Selection of anus-preservation procedures for low rectal carcinoma was investigated in the study, in which the experiences of anus-preservation in low rectal carcinoma resection of 157 cases were summarized. In the anterior resections, the routine procedue included; at inferior of the carcinoma placed a right angle forceps,irrigation of the rectum segment below the right angle forceps via anus,double stapling technique was adopted if the length of rectum from the right angle forceps to anus was 2 cm and above, and Parks procedure or Bacon procedure was adopted when the length of rectum from the right angle forceps to anus was less than 2cm. It is suggested that double stapling technique is applied when the length of rectum from the basal part of the rectal carcinoma to the anus was 6cm or above;Parks procedure or improved Bacon procedure was adopted when the length of rectum from the carcinoma basal part to the anus was less than 6cm.
出处
《中国肛肠病杂志》
2007年第8期20-23,共4页
Chinese Journal of Coloproctology
关键词
直肠肿瘤
保肛术
选择
Rectal neoplasm
Anus-preservation procedure
Selection
