局部切除术在早期低位直肠癌中的应用
直肠癌,,直肠癌；局部切除术,1临床资料,2结果,3讨论,【参考文献】
【摘要】 目的 局部切除术治疗早期低位直肠癌指征探讨和疗效评估。方法 回顾性分析42例经局部切除术治疗和病理证实的早期低位直肠癌患者临床资料。结果 42例早期低位直肠癌均为局部肿瘤根治性切除。无手术死亡病例。无严重术后并发症。获随访39例(92.86%)。39例早期癌中36例(92.31%)术后生存>5年，2例术后3～4年、1例1.5年至今仍健在。总的局部复发率为9.52%(4/42)，复发距手术间隔期为1.5～2年；其中再次行Dixon术2例，改良Bacon术1例，局部扩大全层切除术1例。结论 对经仔细选择的早期低位直肠癌局部切除术是一种安全而有效的治疗方法。【关键词】 直肠癌；局部切除术
Local excision in early low rectal cancer
LV Qiang,FENG Guoguang,YUN Pei,et al.
Department of General Surgery,Gongli Hospital,Shanghai 200135,China
【Abstract】 Objective To discuss the indication and to evaluate the effectiveness of local tumor excision for the treatment of early low rectal cancer.Methods The clinical data of 42 patients with early low rectal cancer resected by operation and confirmed by pathology were retrospectively analysed.Results There were 29 males and 13 females in all patients with early low rectal cancer.The median age was 53 years (range,25～79 years).42 patients with early low rectal cancer were treated by local tumor excision for curative intern,no patients died and no severe complication occured in this technique 39 (92.86%) patients of whom were followed up carefully.Among them,36 patients existed for over 5 years and 3 patients remain alive at 3～4 years (2 cases) and 1.5 years (1 case) after operation.4 (9.52%) patients developed local recurrences at 1.5～2 years after operation,in 42 patients.Dixons operation was again performed in 2 cases,modified Bacons operation in 1 case,local excision once again in 1 case.Conclusion Local tumor excision is a safe and effective precedure for the treatment of carefully selected early low rectal cancer. ......
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