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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/27520


    標題: Transanal Inside-Out Rectal Resection for Ultra-Low Rectal Cancer
    作者: Yeh, Yung-Sung
    Chen, Ming-Jenn
    Tsai, Hsiang-Lin
    Huang, Ming-Yii
    Chen, Chao-Wen
    Huang, Yu-Ho
    Sheen, Maw-Chang
    Wang, Jaw-Yuan
    貢獻者: 運動管理系
    關鍵字: Ultra-Low Rectal Cancer
    Ultra-Low Anterior Resection
    Transanal Inside-Out Rectal Resection
    Colo-Anal Pull-Through Anastomosis
    日期: 2012-12
    上傳時間: 2014-03-21 16:12:13 (UTC+8)
    出版者: Informa Healthcare
    摘要: Two major issues encountered in the surgical resection of low rectal cancers (tumor located <6 cm from anal verge) are tumor-free surgical resection margin and adequate fields of colo-anal pull-through anastomosis. The clinical consequences of ensuring gross tumor-free surgical resection margin by transanal inside-out rectal resection technique were assessed for ultra-low rectal cancer patients. From February 2009 to September 2011, ultra-low anterior resection with a new method of eversion of the rectum through the anal canal after resecting the distal rectum and colo-anal anastomosis extracorporally performed in 30 patients (age range, 41-80 years) was reviewed. All patients received preoperative neoadjuvant concurrent chemoradiotherapy (CCRT) before the surgical resection. The median operating time was 265 min (range, 220-400 min), and the median intraoperative blood loss was 325 ml (range, 80-855 ml). No in-hospitalmortality was noted among these patients. R0 resection (tumor-free margin range, 0.9-2.5 cm) was confirmed in all patients by pathologic reports, except one patient with 0.5 cm tumor-free margin. The new surgical technique of transanal inside-out rectal resection and colo-anal pull-through anastomosis for selected patients with ultra-low rectal cancers seems to be a safe and alternative procedure.
    關聯: Journal Of Investigative Surgery, 25(6), 375-380
    Appears in Collections:[運動管理系] 期刊論文

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