Abdominal perineal resection of rectal cancer on the gracilis muscle Anoplasty.docVIP

 PAGE \* MERGEFORMAT 8 Abdominal perineal resection of rectal cancer on the gracilis muscle Anoplasty [Keywords:] abdominal perineal resection of rectal cancer Anoplasty gracilis In recent years, as people’s living standards, many patients on postoperative quality of life in increasingly high demand, combined with our hospital learning experiences outside the hospital with abdominal perineal resection gracilis graft angioplasty for treatment of anal sphincter rectum and anal canal 16 cases of cancer are summarized as follows. 1 Clinical data 1.1 General Information of this group 10 males and 6 females, aged 34-62 years old, are lower rectal cancer or anal cancer. Which intestinal circumference of tumor accounts for 1 / 2 in 6 patients, 1 / 3 of the 4 cases, 3 / 4 in 2 cases, 4 cases for the week. pathological type was adenocarcinoma in 7 cases the ulcer type, papillary adenocarcinoma and mucinous adenocarcinoma in 4 cases, 1 case of rectal leiomyosarcoma. 1.2 surgical procedures abdominoperineal resection surgery with Miles, and then the rectum and sigmoid colon out through the perineum. Free gracilis muscle, the large, three incisions made inside calf, the free gracilis muscle in the upper 1 / 3 , the attention not to damage the blood vessels into the muscle from the lateral nerve bundles, the upper part of the muscle all the shares of the two proposed sub-incision, wrapped with saline to prepare for transplant, the last in the shares of upper cut perineum incision made between the right front a tunnel. the gracilis muscle through the tunnel has been made in the groove, the sigmoid colon taken a week and a half around the neck style, its seam on the opposite end of tendon or inferior branch of pubic periosteum of the ischial tuberosity, the attention gracilis between the muscle and the colon in order to accommodate a means for the degree. You should check the patency sigmoid colon, mesenteric vascular pulsatility and intestinal color, an