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直肠癌患者能否施行保留肛门手术,一般要依据肿瘤所在部位及其转移情况,近年,随着对直肠癌病理组织学的研究、吻合器的应用及手术方式的改进,使原来适用于直肠上中段的保留肛门手术(简称保肛手术)在不影响癌肿彻底切除的原则下也应用于某些直肠下段癌,术后局部复发率、5年生存率、并发症等统计结果与Miles术相比无明显差异,但欲达到良好的效果,必须严格掌握保肛手术的适应证。
Whether rectal cancer patients can perform anal preservation surgery is generally based on the location of the tumor and its metastasis. In recent years, along with the study of the histopathology of rectal cancer, the application of staplers and the improvement of surgical methods, it has been applied to the rectum. In the middle of the preservation of the anus surgery (referred to as sphincter preservation surgery) does not affect the principle of complete resection of cancer is also applied to some of the lower rectal cancer, postoperative local recurrence rate, 5-year survival rate, complications and other statistical results with Miles surgery phase There is no significant difference between them, but to achieve good results, the indications of sphincter preservation surgery must be strictly controlled.