全直肠系膜切除直肠癌根治术：附126例报告

目的 评价全直肠系膜切除在直肠癌根治术中的应用价值.方法 对近126例中下段直肠癌患者行全直肠系膜切除术的临床资料进行回顾性分析.结果 2例(1.6%)高龄患者死于术后肺部感染.术后发生吻合口瘘2例(1.6%),术后随访1～5年,2年局部复发率为4.0%,3年生存率为93.6%,5年生存率为85.4%.结论 只要合理选择手术适应证.直肠癌全直肠系膜切除术可降低局部复发率,不增加并发症.

Total mesorectal excision in radical operation of rectal carcinoma: a report of 126 cases

Objective:To evaluate the therapeutic effect of total mesorectal excision in radical operation of rectal carcinoma.
Methods:From 1997 to 2007,126 consecutive patients with middle and inferior rectal carcinoma underwent surgical operation according to the principle of total mesorectal excision.
Results:Two patients （1.6%） died of postoperative pulmonary infection, and postoperative anastomotic leakage occurred in 2 cases (1.6%). The postoperative follow-up of 1-5 years showed that local recurrence rate 2 years after surgical operation was 4%(5/126), the 3-, 5-year survival rate was 93.6%（116/124） and 84.7%（105/124）, respectively.
Conclusions:Total mesorectal excision can decrease the frequency of postoperative local recurrence of rectal cancer without increasing complications as long as its correct indications are selected.