Local excision by the sacral rectal tumor.docVIP

 PAGE \* MERGEFORMAT 5 Local excision by the sacral rectal tumor [Keywords:] local excision sacral rectal tumor 2002 to 2005, the local hospital via the sacral tumor resection in 12 cases of rectum, are as follows. 1 Clinical data 1.1 General Information General information on 12 patients in Table 1. Including 9 males and 3 females, average age 63.8 years, mean follow-up 17.8 months. Tumor from the dentate line the lower edge of 3 ~ 7 cm (mean 5.1 cm) .5 cases of rectal cancers are superficial myometrial invasion (T2 period), 2 cases and 1 case of rectal carcinoid rectal villous adenoma were not involving the muscle layer (T1 period). Table 1 General data of patients from the lesion type the number of cases (from the teeth state line) (Brief 1.2 Procedures Epidural anesthesia method. The patient prone position to take to the coccyx as the center to make a cut of about 10 cm (can be a straight incision, it can be curved slightly convex to the side of the incision, cut the skin layer by layer, subcutaneous organization (or part of the gluteal muscle, and direct access to the coccyx, after the removal of part or all of the coccyx, the rectum exposed to the inherent fascia, the posterior wall of the rectum incision to expose the mass, 0.5 ~ 2 cm from the tumor complete resection of tumor and some muscle tissue, and horizontal suture. malignant line of intraoperative frozen section to ensure that the cutting edge of clean. 1.3 postoperative radiotherapy 5 cases were performed in patients after malignant pelvic external beam radiotherapy. 1.4 postoperative chemotherapy 2 cases of malignant patients undergoing chemotherapy program FA: tegafur 1.0 mg/m2, intravenous infusion, 1 to 5 days, FA200 mg / m2, intravenous infusion, 1 to 5 days, 4 w 1 is repeated a course of treatment, 3 to 6 the end of treatment. Links to free discussion paper download 2 Rectal tumor after local excision of sacral approach in the literature [1] has been