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中华结直肠疾病电子杂志 ›› 2018, Vol. 07 ›› Issue (03) : 281 -284. doi: 10.3877/cma.j.issn.2095-3224.2018.03.017

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综述

早期直肠癌的局部切除治疗
聂攀1, 荆鹏飞1, 王存1,()   
  1. 1. 610041 成都,四川大学华西医院胃肠外科中心
  • 收稿日期:2017-09-22 出版日期:2018-06-25
  • 通信作者: 王存

Local excision in early rectal cancer

Pan Nie1, Pengfei Jing1, Cun Wang1,()   

  1. 1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2017-09-22 Published:2018-06-25
  • Corresponding author: Cun Wang
  • About author:
    Corresponding author: Wang Cun, Email:
引用本文:

聂攀, 荆鹏飞, 王存. 早期直肠癌的局部切除治疗[J/OL]. 中华结直肠疾病电子杂志, 2018, 07(03): 281-284.

Pan Nie, Pengfei Jing, Cun Wang. Local excision in early rectal cancer[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(03): 281-284.

直肠癌是最常见的恶性肿瘤之一,目前外科手术方式包括经腹根治术及局部切除术等方式。随着近年早期直肠癌诊断率逐渐提高,局部切除术也逐渐增加。研究表明,对于严格筛选的早期直肠癌病人,局部切除术较经腹根治手术术后排便及性功能障碍发生率低,同时能获得与根治性手术相似的治疗效果。但由于局部切除术未清扫区域淋巴结,存在较高的局部复发率,需要术前对肿瘤局部浸润及淋巴结状态的精确评估,同时进行良好的术后随访和监测。

Rectal cancer is one of the most common malignant tumors. The surgical methods include radical resection and local excision. With rectal cancer early diagnosis rate increase gradually, local resection has been gradually increased. Research has shown that the incidence rate of defecation dysfunction and sexual dysfunction in local excision rectal cancer patients with strict screened was lower than that of radical resection. However, local excision didn′t clear local lymph nodes, there is a higher rate of local recurrence, which requires accurate assessment of the local infiltration and lymph node status before surgery, and good postoperative follow-up and monitoring.

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