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低位直肠癌手术保留肛门有严格的距离要求,经典Miles术式需要在腹壁造永久性人工肛门,给患者带来巨大的精神和肉体上的痛苦,部分患者甚至因此拒绝手术而放弃治疗。我国直肠癌好发部位恰恰以直肠下段居多,占74.1%[1]。1993年6月—2012年8月,我们采用经肛门括约肌路径的低位直肠癌切除术(Mason术)27例,保留了肛门及功能,效果满意。现分析报告如下。
Low rectal cancer surgery to keep the anorectal strict distance requirements, the classic Miles surgery need to create a permanent artificial anus in the abdominal wall, to patients with great mental and physical pain, some patients even refused to surrender and therefore treatment. The incidence of rectal cancer in China is precisely the majority of the lower rectal segment, accounting for 74.1% [1]. From June 1993 to August 2012, we adopted 27 cases of low rectal cancer resection (Mason surgery) via anal sphincter, which preserved the anus and function, with satisfactory results. The analysis report is as follows.