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23例低位直肠癌病人行结肠肛管吻合术(CAA),目的旨在评价CAA安全性、有效性及功能结果.肿瘤距肛门缘≤8cm20例(87％).7例(30％)属C期.切除肛侧断端无瘤边缘>2cm,23例均未作结肠造瘘,无手术死亡.吻合口漏3例(13％).21例功能评价,18例(85％)术后1年有良好自制力.23例随访生存率3年71.61％;5年63.65％.盆腔复发17％,无吻合口发.本文结果强调直肠低位肿瘤常规Miles术或未必明智,而CAA法能保留肛门自控能力乃为最佳选择.
Twenty-three patients with low rectal cancer underwent colonic anal canal anastomosis (CAA) for the purpose of assessing the safety, efficacy, and functional outcome of CAA. The distance from the anus of the tumor was less than 8cm in 20 cases (87%). 7 cases (30%) belonged to C Period. Resection of the anal verrucous rim>2cm, 23 cases without colostomy, no operative death. Anastomotic leakage in 3 cases (13%). 21 cases of functional evaluation, 18 cases (85%) after surgery 1 There was good self-control in 23 cases. The follow-up survival rate in 23 cases was 71.61% in 3 years; 63.65% in 5 years. The pelvic recurrence was 17%. There was no anastomotic pain in the pelvis. This result emphasizes that conventional Miles or low rectal cancer may not be wise, but CAA can retain the anus. Self-control ability is the best choice.