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中华结直肠疾病电子杂志 ›› 2015, Vol. 04 ›› Issue (01) : 20 -25. doi: 10.3877/cma.j.issn.2095-3224.2015.01.05

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保肛手术的理想愿望与现实
王锡山1()   
  1. 1. 150086 哈尔滨医科大学附属第二医院结直肠肿瘤外科 哈尔滨医科大学大肠癌研究所
  • 收稿日期:2014-12-30 出版日期:2015-02-25
  • 通信作者: 王锡山
  • 基金资助:
    国家自然科学基金(81272706)

The ambition and reality of sphincter preserving surgery

Xi-shan WANG1,()   

  1. 1. Department of Colorectal Cancer Surgery, The Second Affiliated Hospital, The Colorectal Cancer Institute, Harbin Medical University, Harbin 150086, China
  • Received:2014-12-30 Published:2015-02-25
  • Corresponding author: Xi-shan WANG
  • About author:
    Corresponding author: WANG Xi-shan, Emai:
引用本文:

王锡山. 保肛手术的理想愿望与现实[J/OL]. 中华结直肠疾病电子杂志, 2015, 04(01): 20-25.

Xi-shan WANG. The ambition and reality of sphincter preserving surgery[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(01): 20-25.

保肛手术已成为中低位直肠癌的首选术式,随着现代医学模式的转变和治疗手段的进步,要求外科医生不仅需要"保肛",还需要"保功能",但腹会阴联合切除术在部分患者中仍是客观必需的。在治疗过程中,需要医生综合考虑患者自身因素,结合手术技巧,个体化选择术式。只有不断完善治疗过程中各个环节的质量控制,建立规范化的手术标准,才能使得更多的患者能够获益。

Sphincter preserving surgery has become the preferred technique in low rectal cancer treatanent.With the transformation of modern medical model and treatment methods progress, it requires that the surgeon needs not only "sphincter preserving" , but also "function preserving" . However abdominoperineal resection in some patients is still required.In the course of treatment, doctors need to consider various aspects of patients, combined with surgery skills, give individual choice of operation.In order to benefit more patients, doctors should improve the quality control of each step in the treatment process and establish standardized operation methods.

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