论文部分内容阅读
目的探讨全直肠系膜切除术加盆腔自主神经保留在中、低位直肠癌根治术中的应用及其临床意义。方法对2005年1月-2007年7月收治的11例行中低位直肠癌根治术中,同时采用全直肠系膜切除加保留盆腔自主神经手术患者的病历资料进行回顾性分析。结果本组11例,均顺利完成手术,无手术死亡,术后无吻合口漏,仅1例术后2年会阴部复发,6例60岁以下男性患者性功能指标基本正常,3例55岁以下女性患者性功能状态良好;11例患者中无尿失禁,排尿基本正常,排便正常。结论全直肠系膜切除术(盆腔自主神经保留在中、低位直肠癌根治术中应用未增加术后并发症,且有效地提高了患者生存质量。
Objective To investigate the application and clinical significance of total mesorectal excision plus pelvic autonomic nerve preservation in middle and low rectal cancer. Methods From January 2005 to July 2007, 11 cases of middle and low rectal cancer underwent radical mastectomy combined with total mesorectal excision and preserved pelvic autonomic nerve surgery were retrospectively analyzed. Results All the 11 cases were successfully performed the operation, no operative death, no anastomotic leakage after operation, only 1 case had perineal recurrence 2 years after operation. The 6 cases of male under 60 years old had normal sexual function, and 3 cases of 55 years old The following female patients with good sexual function; 11 patients without urinary incontinence, urination basically normal, normal bowel movement. Conclusions Total mesorectal excision (preservation of pelvic autonomic nerve in the middle and low rectal cancer does not increase the application of postoperative complications, and effectively improve the quality of life of patients.