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结—直肠癌切除术后吻合口再发的发生率为0～36％,其差异与病例选择、手术技巧、统计方法和随诊结果有关。1950—1978年间,作者先后进行结一直肠癌切除手术1315例。其中结肠癌440例,直肠癌801例,术后随诊20年以上。全组中发生吻合口缝线处复发癌者35例(2.7％),其中9例(2％)继发于结肠癌术后,26例(3％)发生在直肠癌术后;男性18例,女性17例。首次手术时平均年龄为59±11岁。病理分期 DukesA期4例,B期13例和C期12例,分期不明6例。吻合口复发35例中15例作过再次
The incidence of anastomotic recurrence after resection of rectal cancer is 0 to 36%. The difference is related to the selection of cases, surgical techniques, statistical methods and follow-up results. Between 1950 and 1978, the authors performed 1,315 consecutive cases of colon resection. There were 440 cases of colon cancer, 801 cases of rectal cancer, and more than 20 years of follow-up after surgery. There were 35 cases (2.7%) of recurrences at the anastomotic line in the whole group, of which 9 cases (2%) were secondary to colon cancer and 26 cases (3%) occurred after rectal cancer; 18 cases were male. , 17 females. The average age at the time of first surgery was 59±11 years. The pathological stage consisted of 4 cases of DukesA stage, 13 cases of stage B and 12 cases of stage C, 6 cases were unknown. 15 cases of recurrence of anastomosis in 35 cases