Clinical research of low resection of rectal carcinoma in pull-through anus operation
- VernacularTitle:经肛门拖出低位切除术治疗直肠癌的临床研究
- Author:
Zhigui LI
;
Changsheng XU
;
Jinman FAN
;
Yuesheng WANG
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Proctocolectomy,restorative;
Biomedical research
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(26):20-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of low resection of rectal carcinoma in pull-through anus operation and its influence factor with rectal carcinoma distant metastases along intestine wall.Method Clinical pathological and visited data of 43 patients with rectal carcinoma were analyzed prospectively.Resuits Forty--one cases were successfully accepted resection in pull-through anus (95.3%).No patient suffered from stoma leak,3 cases appeared recurrence after operation.Compared between high differentiation patients and mid differentiation patients,there was no significant difference, while the difference of comparing between high or mid differentiation patients and low differentiation patients respectively,there was significant difference.The difference of comparison among Dukes stage A,B or C was significant.Conclusions The right length of incising distant intestine tube is more than 2.0,3.0,4.0 cm respectively for rectal careinoma of high,mid and low differentiation or that of Dukes stage A,B or C.low resection of rectal carcinoma in puB-through anus should be considered as a regular operation.