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目的探讨低位直肠癌全直肠系膜切除(TME)在保肛、防止肿瘤局部复发中的作用。方法对1999年1月至2003年12月我院行低位直肠癌全直肠系膜切除术62例患者的手术方法、疗效和并发症进行回顾性分析。结果62例患者采用TME手术,术后无死亡者,吻合口瘘4例,无吻合口狭窄,术后局部复发4例,复发率为6.4%。结论在低位直肠癌手术中应用TME可降低直肠癌局部复发率,不增加并发症。
Objective To investigate the effect of total mesorectal excision (TME) in rectal cancer on anal sphincter preservation and prevention of local tumor recurrence. Methods From January 1999 to December 2003, the surgical methods, curative effects and complications of 62 patients undergoing total mesorectal excision of low rectal cancer in our hospital were analyzed retrospectively. Results Sixty-two patients were treated with TME. No postoperative death was found. Four anastomotic fistulas were missed. There was no anastomotic stenosis. Four patients had local recurrence after operation. The recurrence rate was 6.4%. Conclusion The application of TME in low rectal cancer surgery can reduce the local recurrence rate of rectal cancer without increasing the complications.