直肠癌低位前切除术保留耻骨瓣的技术改进

• 作 者: 曾介生
• 机 构: 海军第三一三医院外科
• 出 处: 医师进修杂志
• 发表日期: 1991年05期
• 关键词: 低位前切除术 骨瓣 耻骨结节 直肠癌 耻骨 骨痴 潜行分离 阴茎 前方 线锯

我院于1985—1988年对8例直肠癌病人采用了保留耻骨瓣的直肠癌低位前切除术,术后随防8个月～3年,保留的耻骨瓣均有骨痴愈合,术后效果满意。本文将改进的手术方法介绍如下: 经手术探查,确认为有经耻骨入路行直肠癌低位前切除术适应证时,则在耻骨前方作一弧形切口,弧线两翼越过耻骨结节,其中段与原腹壁切口相连,弧的底边在阴茎侧。切开皮下后,推离膀胱,在两侧耻骨结节外侧,贴近骨面潜行分离至处骨弓下,引出线锯。在耻骨结节外缘,尖

In our hospital from 1985 to 1988, eight cases of rectal cancer were treated with preservation of the pubic rectal low anterior resection, with anti-8 months to 3 years after surgery, the preservation of the pubic bone are bone and bone healing, postoperative effects satisfaction. This article will introduce improved surgical methods are as follows: Surgical exploration, confirmed by the pubic rectal cancer with a low anterior resection indications, the anterior incision made an arc-shaped incision, arcs across the pubic nodules, which Segment and the original abdominal incision connected to the bottom of the arc in the penis side. Cut the skin, pushed away from the bladder, in the lateral pubic nodules on the outside, close to the surface of the bone sigh separation everywhere under the bone bow, lead wire saw. The pubic nodules outer edge, pointed