直肠癌合并腹股沟疝经同一切口一期手术治疗

目的 探讨经同一切口同时行直肠癌手术及无张力疝修补术的可行性.方法 选取我院1999年至2007年直肠癌合并腹股沟疝患者共27例,分成二组,A组(对照组)10例,为1999年至2005年,患者均行肠道手术半年以上再行腹股沟疝无张力修补术;B组(观察组)17例,为2005年至2007年,患者均行直肠癌手术前先经下腹部正中切口行腹膜前无张力疝修补术.结果 A组与B组相比,无论在手术效果及手术并发症上无明显差异.结论 一期经同一切口行无张力疝修补术和直肠癌手术符合无菌及无瘤原则,在技术上是合理的.

Synchronous surgical treatment of patients with inguinal hernia and rectal cancer by same incision

Objective To investigate feasibility of the operation with rectal cancer and tension-free hernioplasty by the same incision.Methods A total of 27 cases of patients with inguinal hernia and rectal cancer were enrolled from 1999 to 2007 in our hospital.Those patients were classified into 2 groups.Group A included 10 cases who took tension-free hernioplasty after half a year followed with rectal cancer operation from 1999 to 2005,while Group B included 17 cases whom had tension-free hernioplasty before operations of rectal cancer by the same incision.Results No difference in the operation effectiveness and complications were observed in the group A and B.Conclusions Synchronous surgical treatment of patients with inguinal hernia and rectal cancer by the same incision is reasonable and consistent with aseptic and tumor-free principles.