中国实用外科杂志2012，Vol.32Issue(6)：456-458,3.
提肛肌外腹会阴联合切除术在低位直肠癌治疗中的初步应用
Application of extralevator abdominoperineal excision in the surgical treatment of low rectal cancer
叶颖江 1王杉 1申占龙 1曹键 1梁斌 1杨晓东 1尹慕军 1谢启伟 1郭鹏 1姜可伟1
作者信息
- 1. 北京大学人民医院胃肠外科,北京100044
- 折叠
摘要
Abstract
Objective To explore the preliminary application result of extralevator abdominoperineal excision (ELAPE) for low rectal cancer. Methods The clinical pathological factors of seven patients with low rectal cancer performed ELAPE from September 2011 to April 2012 in Department of Gastroenlerological Surgery, Peking University People' s Hospital were analyzed retrospectively. Results The mean operation time was 280 minutes. The mean bleeding amount was 150 mL. No iatrogenic intestinal perforation was found in operation. All specimens were proved circumferential resection margin (CRM) without "surgical waist". One patient with delayed union of perineal incision was healed uneventfully. Postoperative intestinal obstruction was occurred in one patient. Conclusion ELAPE is a safe and feasible surgical approach of low rectal cancer. ELAPE might reduce the incidence of positive CRM and intestinal perforation and has a better prognosis than conventional abdominoperineal resection (APR). It might become a recommended surgical approach for low rectal cancer in the future.关键词
经提肛肌外腹会阴联合切除术/低位直肠癌Key words
extralevator abdominoperineal excision /low rectal cancer分类
医药卫生引用本文复制引用
叶颖江,王杉,申占龙,曹键,梁斌,杨晓东,尹慕军,谢启伟,郭鹏,姜可伟..提肛肌外腹会阴联合切除术在低位直肠癌治疗中的初步应用[J].中国实用外科杂志,2012,32(6):456-458,3.
