Total Mesorectal Excision for Middle and Lower Rectal Cancer: Retrospective Study of 538 Consecutive Patients

Wang Kang; et al

doi:10.13406/j.cnki.cyxb.2005.06.036

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Total Mesorectal Excision for Middle and Lower Rectal Cancer: Retrospective Study of 538 Consecutive Patients

更新时间：2024-01-17

- Total Mesorectal Excision for Middle and Lower Rectal Cancer: Retrospective Study of 538 Consecutive Patients
- Journal of Chongqing Medical University Issue 6, Pages: 899-902(2005)
- 作者机构：
  
  1. 四川省医学科学院·四川省人民医院胃肠外科
  2. 四川省医学科学院·四川省人民医院胃肠外科,四川,610072
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.06.036
  CLC： R735.37
- Published：2005，
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[1]王康,王波,胡阳,李平,张伟,郭志义.中低位直肠癌的全直肠系膜切除术:538例连续病人的回顾性研究[J].重庆医科大学学报,2005(06):899-902.

Wang Kang, et al. Total Mesorectal Excision for Middle and Lower Rectal Cancer: Retrospective Study of 538 Consecutive Patients. [J]. Journal of Chongqing Medical University (6):899-902(2005)
[1]王康,王波,胡阳,李平,张伟,郭志义.中低位直肠癌的全直肠系膜切除术:538例连续病人的回顾性研究[J].重庆医科大学学报,2005(06):899-902. DOI： 10.13406/j.cnki.cyxb.2005.06.036.

Wang Kang, et al. Total Mesorectal Excision for Middle and Lower Rectal Cancer: Retrospective Study of 538 Consecutive Patients. [J]. Journal of Chongqing Medical University (6):899-902(2005) DOI： 10.13406/j.cnki.cyxb.2005.06.036.

摘要

目的:评价全直肠系膜切除术在直肠癌根治术中的作用。方法:回顾性分析四川省人民医院1997年1月至2004年 3月间连续施行全直肠系膜切除术的538例临床资料。结果:538例中

男322例

女216例

无手术死亡和骶前大出血

保肛率78．1％（420／538）

随访403例（12-60个月）

局部复发率4．5％（18／403）

1和5年生存率分别为90．3％为65．8％。结论:全直肠系膜切除术可以提高直肠癌病人的保肛率和生存率、改善了术后的生存质量

不增加手术并发症及死亡率

已成为中低位直肠癌手术治疗的金标准。

Abstract

Objective; To evaluate the role of total mesorectal excision in radical resection of rectal carcinoma. Methods:The data of 538 consecutive patients with middle and lower rectal cancer were analyzed retrospectively. These patients were treated with total mesorectal excision between January 1997 and March 2004. Results;All 538 patients had middle or lower rectal cancer

322 male

and 216 female. No patients died perioperatively and presented presacral hemorrhea. A total of 420 patients were treated by anterior rectal resection; 118 patients had to undergo abdomino - perineal resection. 403 patients were followed - up (12-60 months). The rate of local recurrence was 4.5%. 1 year and 5 - year survival rates after curative resection were 90. 3% and 65. 8% respectively. Conclusion; In our experience

with TME technique

the postoperative mortality and complication would not be increased. The anus - saving rate is increased and the patients’living quality is improved. These findings recommend TME as gold standard procedure for middle and lower rectal cancer.

关键词

全直肠系膜切除直肠癌外科学预后

Keywords

Total mesorectal excisionRectal carcinomaSurgeryprognosis

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