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目的探讨全直肠系膜切除术(TME)的合理实施及临床应用。方法回顾性分析2005年以来38例全直肠系膜切除术的直肠癌患者的临床资料。结果38例中无手术死亡病例,Mile术20例,18例保肛,11例吻合器吻合,保肛成功率44.7%(17/38),术后吻合口瘘1例,1月后改行Miles术。无骶前大出血病例,术后近期排尿困难1例,近期大便失禁1例。术后16月复发1例来院行再手术切除。结论全直肠系膜切除术(TME)的合理实施可使手术病死率、术中大出血发生率降低,复发率降低,可有效保存盆腔脏器功能。
Objective To investigate the reasonable implementation and clinical application of total mesorectal excision (TME). Methods The clinical data of 38 patients with rectal cancer who underwent total mesorectal excision since 2005 were retrospectively analyzed. Results There were no operative deaths in 38 cases. There were 20 cases of Mile’s operation, 18 cases of anus preservation and 11 cases of anastomosis. The success rate of anus preservation was 44.7% (17/38), and 1 case of anastomotic leakage after 1 month Surgery. No sacral hemorrhage cases, 1 case of recent dysuria, incontinence in 1 case. One patient recurred after operation in 16 months and was surgically removed. Conclusion The implementation of total mesorectal excision (TME) can make the operation mortality, the incidence of intraoperative hemorrhage decreased, the recurrence rate decreased, which can effectively preserve the function of pelvic organs.