The study of cylindrical abdominal perineal resection for rectal cancer and pelvic floor reconstruction improvement
10.3969/j.issn.1671-8348.2013.33.012
- VernacularTitle:柱状经腹会阴直肠癌切除术及盆底重建改进的研究
- Author:
Jianzhong YI
;
Yuancai XIE
;
Chuanfa FANG
;
Hongquan LIU
- Publication Type:Journal Article
- Keywords:
rectal neoplasms;
cylindrical abdominal perineal resection for rectal cancer;
pelvic floor reconstruction
- From:
Chongqing Medicine
2013;(33):4009-4011
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the abdominal perineal resection for rectal cancer and clinical application of pelvic floor recon-struction .Methods 30 cases of rectal cancer patients from 2008-2011 were randomly divided into experimental group and the con-trol group ,30 cases in each group .Experimental group patients by columnar abdominal perineal resection of rectal cancer treatment , postoperative pelvic floor defect for dermal matrix reconstruction .The control group patients for colorectal cancer resection by lapa-rotomy .Results Compared with the traditional open resection ,the operation time ,intraoperative blood loss ,postoperative patholog-ical column T3 N0 M0 positive rate ,incidence of complications and incision aspect of cylindrical abdominal perineal resection were ob-vious advantages ,the difference was statistically significant (P< 0 .05) .Conclusion Compared with Miles surgery ,cylindrical ab-dominal perineal resection for rectal cancer can reduce the incidence of postoperative incisal edge positive rate and bowel perfora -tion .Human decellularized dermal matrix basin redevelopment can significantly reduce the surgical risk and difficulty of surgical op-erations .
