Transanal Inside-Out Rectal Resection for Ultra-Low Rectal Cancer

doi:10.3109/08941939.2012.655369

Chia Nan University of Pharmacy & Science Institutional Repository > 環境永續暨休閒學院 > 運動管理系 > 期刊論文 > Item 310902800/27520

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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
显示于类别:	[運動管理系] 期刊論文

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