解放军医学杂志2018，Vol.43Issue(1)：61-64,4.DOI:10.11855/j.issn.0577-7402.2018.01.12
直肠癌新辅助放化疗后过度延期根治性手术的治疗体会
Experience in the treatment of rectal cancer with excessively extended radical resection after neoadjuvant chemoradiotherapy
摘要
Abstract
Objective To investigate the treatment experience of rectal cancer patients with excessively extended surgery after neoadjuvant chemoradiotherapy.Methods Seven cases of rectal cancer patients admitted to our hospital from 2014 to 2016 with excessively extended surgical intervention (6 to 13 months) after neoadjuvant chemoradiotherapy were included in the present study.All of the patients were treated with radical surgery,and the operation effect and postoperative complications were observed.Results Three patients underwent anterior resection of the rectum (Dixon),including 2 cases of anastomotic leakage;3 cases occurred intestinal rupture during operation,1 of them complicated with postoperative pelvic abscess;there were 4 cases complicated with incision infection or liquefaction.No presacral venous plexus hemorrhage occurred.Conclusion Excessively extended surgery after neoadjuvant chemoradiotherapy increases the difficulty of operations and the occurrence of postoperative complications in patients with rectal cancer.关键词
直肠肿瘤/新辅助放化疗/延期手术/手术中并发症/手术后并发症Key words
rectal neoplasms/neoadjuvant chemoradiotherapy/prolonged operation/intraoperative complications/postoperative complications分类
医药卫生引用本文复制引用
李迪,涂永久,李鹏,郑维峰,陈战..直肠癌新辅助放化疗后过度延期根治性手术的治疗体会[J].解放军医学杂志,2018,43(1):61-64,4.基金项目
厦门市科技攻关计划项目(3502Z20154040)This work was supported by the Xiamen Science and Technology Research Project(3502Z20154040) （3502Z20154040）
