全直肠系膜切除术治疗中低位直肠癌96例临床分析

目的 探讨全直肠系膜切除(TME)在直肠癌根治术中的应用价值.方法 对我院2002年7月～2006年7月按照TME原则行根治性切除术的96例直肠癌患者的疗效、并发症等临床资料进行分析.结果 96例均行根治性切除,前切除18例,超低位切除15例.全组均获随访,随访时间1～46个月,随访期间I例局部复发病例,4例吻合口漏病例,死亡1例.结论 TME是降低直肠癌根治术后局部复发的重要坏节,是直肠癌手术中应该遵循的原则.

Clinical Analysis of Radical Resection with Total Mesorcctal Excision (TME) in the Treatment of Rectal Cancer

Objective To evaluate the effect of radical surgery with TME in the treatment of rectal carcinoma. Methods Ninety-six patients underwent radical resection with TME from July 2002 to July 2006 were analyzed and followed up for 1～46 months. Results In these 96 cases,18 cases underwent anterior resection,15 eases ultra-low anterior resection. During the postoperative follow-up period one case local recurrence oecun'ed,one ease was death. Four eases occurred anastomose leakage. Conclusion rIME is an effective measure in the treatment of rectal carcinoma.