早期直肠癌经骶尾局部切除12例分析_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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付涛 , 刘宝华 , 张胜本 , 王代科

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直肠癌局部切除术复发

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目的总结经骶尾行直肠癌局部切除术治疗12例早期直肠癌的临床经验。方法1993年6月至2002年6月对其中12例早期直肠癌患者行经骶尾局部切除术并分析其治疗效果。结果该组病例术后平均住院14.6 d，其中2例术后发生切口感染，经治疗后愈合。术后随访2~110个月，平均38.2个月，局部复发2例，死亡1例。结论经骶尾局部切除术或局部切除术辅助放疗、化疗，适用于恶性程度较低的早期直肠癌患者。

Citation： 付涛,刘宝华,张胜本,王代科. 早期直肠癌经骶尾局部切除12例分析. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(3): 255-256. doi: Copy

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1. Enker WE, Havenga K, Polyak T, et al. Abdominoperineal resection via total mesorectal excision and autonomic nerve preservation for low rectal cancer [Ｊ]. World J Surg, 1997; 21(7)∶715.
2. McCall JL, Cox MR, Wattchow DA. Analysis of local recurrence rates after surgery alone for rectal cancer [Ｊ]. Int J Colorectal Dis, 1995; 10(3)∶126.
3. Hughes ES, McDermott FT, Masterton JP, et al. Operative mortality following excision of the rectum [Ｊ]. Br J Surg, 1980; 67(1)∶49.
4. Rothenberger DA, Wong WD. Abdominoperineal resection for adenocarcinoma of the low rectum [Ｊ]. World J Surg, 1992; 16(3)∶478.
5. Chorost MI, Weber TK, Lee RJ, et al. Sexual dysfunction, informed consent and multimodality therapy for rectal cancer [Ｊ]. Am J Surg, 2000; 179(4)∶271.
6. Bleday R. Local excision of rectal cancer [Ｊ]. World J Surg， 1997; 21(7)∶706.
7. 汪训实. 经骶骨旁路保留肛门的中低位直肠癌切除术 [Ｊ]. 中国普外基础与临床杂志， 1998； 5（1）∶49.
8. Graham RA, Garnsey L, Jessup JM. Local excision of rectal carcinoma [Ｊ]. Am J Surg， 1990; 160(3)∶306.
9. Taylor RH, Hay JH, Larsson SN. Transanal local excision of selected low rectal cancers [Ｊ]. Am J Surg， 1998; 175(5)∶360.
10. Minsky BD. Conservative treatment of rectal cancer with local excision and postoperative radiation therapy [Ｊ]. Eur J Cancer， 1995; 31A(7-8)∶1343.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

早期直肠癌经骶尾局部切除12例分析

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