A long-term effect of in situ artificial anal reconstruction using five combined operations
10.3760/cma.j.issn.1009-4598.2018.08.005
- VernacularTitle: 五联术原位人工肛门整形重建的远期疗效临床研究
- Author:
Benshou ZHANG
1
;
Hui CHU
;
Zengnan LI
;
Liangbiao XU
;
Chao XIE
;
Zhijiu XU
;
Lei JIN
;
Ting YUAN
;
Zihao LIN
Author Information
1. Department Surgery, 100th Hospital of The Chinese People′s Liberation Army, Suzhou 215007, China
- Publication Type:Clinical Trail
- Keywords:
Lower rectal cancer;
Anal sphincteroplasty;
Long-term effect
- From:
Chinese Journal of Plastic Surgery
2018;34(8):605-608
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explorea long-term effect of in situ artificial anal reconstruction using five-combined-operation technique after lower rectal cancer resection.
Methods:After miles operation, 60 patients suffered with lower rectal cancers underwent in situ artificial anal reconstruction using five-combined-operation technique, which included internal and external anal sphincter, rectal flap, rectal angle, and anoperineal reconstruction.
Results:All cases in this study were performed successfully, with primary healing in the wounds. Awareness of defecation had reoccurred in all cases since 1 week postoperatively and self-control of defecation had been regained since 3 weeks postoperatively with formed stool excreted once or twice a day. Long-term follow-ups: ①In 95% cases, rectal controlled discharge time was longer than 2 minutes, which was significantly higher than that of sphincter reconstruction group as a control(P<0.05). ② Five-year survival rate reached to 88%, which was significantly higher than that of the control group(P<0.05).
Conclusions:Anal reconstruction using five-combined operation method after Miles operation could be a safe and effective surgical procedure, which could completely cure tumor, and improve patients′ life quality and long-term survival rate.
