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目的 :总结经肛门局部切除术治疗低位直肠癌的经验。方法 :回顾性分析 1 991～ 2 0 0 0年收治的 2 6例经肛门局部切除治疗者的临床资料。结果 :(1 ) 2 6例均为直肠腺癌 ;(2 ) 2 6例直肠癌 T0 1 0例 ,T1 期 9例 ,T2 期 7例。(3)围手术期病死率为 0。(4 )术后特异性并发症仅有 1例 ,占 38.5 %。 (5 )有 4例局部复发。其中 1例经局部切除治愈。另外 3例经腹会阴联合切除术 ;(6 )本组直肠癌病人经肛门局部切除术后 ,随访都超过 2年 ,5年生存为 83.4 %。结论 :经肛门局部切除治疗直肠癌适于 T1 ～T2 ,N0 M0 、组织分化好 ,距肛缘 6 cm以内的肿瘤 ,但严格掌握适应证 ,完整的肿瘤切除 ,术中预防肿瘤种植是预防复发的关键。术后应进行密切随防 ,以尽早发现复发
Objective: To summarize the experience of transrectal partial resection in the treatment of low rectal cancer. Methods: The clinical data of 26 patients who underwent transanal resection from 1996 to 2000 were retrospectively analyzed. Results: (1) 26 cases were all rectal adenocarcinoma; (2) T0 10 cases of 26 cases of rectal cancer, 9 cases of T1, 7 cases of T2. (3) perioperative mortality was 0. (4) only one case of postoperative complications, accounting for 38.5%. (5) There are 4 cases of local recurrence. One case was cured by local excision. The other 3 cases of transabdominal perineum combined resection; (6) The group of rectal cancer patients after partial anus resection were followed for more than 2 years, 5-year survival was 83.4%. Conclusion: The partial resection of the anus for rectal cancer is suitable for T1 ~ T2, N0 M0, good tissue differentiation, within 6 cm from the anal verge of the tumor, but strict indications, complete tumor resection, intraoperative prevention of tumor implantation is to prevent recurrence key. Closely follow the prevention should be carried out to find the recurrence as soon as possible