首页   按字顺浏览 期刊浏览 卷期浏览 Anastomotic recurrence after sphincter‐saving resection for rectal cancerLength ...
Anastomotic recurrence after sphincter‐saving resection for rectal cancerLength of distal clearance of the bowel

 

作者: Keiichi Hojo,  

 

期刊: Diseases of the Colon & Rectum  (OVID Available online 1986)
卷期: Volume 29, issue 1  

页码: 11-14

 

ISSN:0012-3706

 

年代: 1986

 

出版商: OVID

 

关键词: Rectal cancer;Sphincter‐saving resection;Anastomotic recurrence;Safety margin;Computer analysis

 

数据来源: OVID

 

摘要:

&NA;A retrospective study of anastomotic recurrence after sphincter‐saving resection for rectal cancer is presented. During the 21 years from 1962 to 1982, 273 patients with rectal cancer underwent sphincter‐saving resection and 30 (11 percent) of them had anastomotic recurrences. Computer analysis of 69 variables was undertaken to identify factors contributing to the anastomotic recurrence, with special reference to the length of distal clearance of the bowel. There was no significant correlation between the incidence of recurrence and the length of distal clearance of the bowel, if the latter was over 2 cm. There appears to be justification for carrying out a curative sphincter‐saving operation for cases in which more than a 2‐cm distal margin can be afforded. However, for cancers of the infiltrating type, annular growths, invasion to adjacent organs or mucinous features, a more extensive distal clearance of the bowel is necessary, and the Miles operation should be performed.

 

点击下载:  PDF (329KB)



返 回