Strategies of surgical approaches of local resection for mid-lower rectal tumors and pelvic floor neoplasia
10.3760/cma.j.issn.1673-4203.2013.11.011
- VernacularTitle:中低位直肠及周围盆底肿瘤局部切除手术入路选择策略
- Author:
Junjie XING
;
Jianjun GAO
;
Yiqian LUO
;
Nan LIN
;
Gang SUN
- Publication Type:Journal Article
- Keywords:
Mid-lower rectum;
Neoplasms;
Local resection;
Surgical procedures,operative;
Strategies;
Recurrence;
Reoperation
- From:
International Journal of Surgery
2013;40(11):748-751
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the strategies of surgical approaches,indications and surgical techniques of local resection for mid-lower rectal tumors and pelvic floor neoplasia.Methods Clinical data of 122 patients underwent local resection for mid-lower rectal tumors pelvic floor neoplasia between July 2004 and July 2008 were analyzed retrospectively.Results Transanal,transsacral,transsphincteric local resection was respectively performed in 45,and 32,and 45 patients.Pathological examination proved that benign tumors were account for 81 cases,pelvic floor neoplasia 16 cases,malignant tumors 25 cases.The masses were 5.6 cm(0 to 12 cm) apart from the anal border,and the mean tumors' diameter was 4.2 cm (0.5 to 11 cm).No case was diagnosed with positive margins upon final pathology of resected specimens.The rate of postoperative complications of transanal,transsacral,transsphincteric approaches was 8.9％ (4/45),18.8％ (6/32),20.0％ (9/45),respectively.The recurrence of transanal,transsacral,transsphincteric approaches was 6.7％ (3/45),9.4％ (3/32),4.4％ (2/45),respectively.Conclusions The three approaches for patients suffering from mid-lower rectal tumors and pelvic floor neoplasia have respectively advantages.Transsphincteric approach is the most useful methods,but with more postoperative complications,so it need more surgical techniques.
