中国医学创新Issue(8)：40-41,42,3.DOI:10.3969/j.issn.1674-4985.2013.08.025
盆腔脏器切除治疗局部复发直肠癌41例临床分析
Pelvic Exenteration for Locally Recurrent Rectal Cancer:Reports of 41 Cases
和西涛1
作者信息
- 1. 山东省滨州市无棣县人民医院 山东 无棣 251900
- 折叠
摘要
Abstract
Objective:To evaluate pelvic exenteration in the treatment of locally recurrent cancer(LRRC)and to analyze factors that might predict curative resection and those that affect survival.Method:Clinical data of 41 cases with LRRC receiving pelvic exenteration between 2000 and 2010 were analyzed retrospectively.Result:Of 41 cases,7 patients underwent posterior pelvic exenteration(PPE);24 underwent total pelvic exenteration(TPE), of which 5 was anus-preserving TPE.Curative resection(R0)rate is 43.9%.Morbidity and mortality were 87.8%and 0 respectively.Overall 3 and 5 years survival rate were 47.4%and 29.6%respectively.Lymph node metastasis and curative resection were correlated significantly with prognosis(P<0.05). Tumor fixation were correlated significantly with R0 resection(P<0.05).Conclusion:Surgical resection is an effective method in the treatment of LRRC, and curative resection is an important prognostic factor for survival.关键词
局部复发直肠癌/盆腔脏器切除术/根治切除/预后Key words
Locally recurrent cancer/Pelvic exenteration/Curative resection/Prognosis引用本文复制引用
和西涛..盆腔脏器切除治疗局部复发直肠癌41例临床分析[J].中国医学创新,2013,(8):40-41,42,3.
