Middle and lower rectal cancer coloanal pull-type (rectal end) anastomosis in 20 cases a.docVIP

 PAGE \* MERGEFORMAT 6 Middle and lower rectal cancer coloanal pull-type (rectal end) anastomosis in 20 cases a [Keywords:] in the lower rectal cancer; out of style coloanal; an anastomosis Of rectal cancer occurred in the middle and lower rectum, the incidence is rising in recent years [1], surgery is the primary means of treatment of cancer. In order to improve the quality of life of patients, eliminating the permanent abdominal stoma inconvenience caused, sphincter preserving surgery of rectal cancer have received increasing attention, were retrospectively analyzed in April 2004 -2009 application in April out of style coloanal (rectal end) an anastomosis in the treatment of lower rectal cancer in 20 cases, satisfactory outcome is reported below. 1 Clinical data 1.1 General Information The group of 20 patients, 12 males and 8 females; age of 39 to 74 years old. Colorectal cancer remote from the anal margin 5 ~ 8cm, tumor invasiongt; 1 / 2 circumference in 6 cases, “1 / 2 circumference 14. preoperative pathology examination confirmed adenocarcinoma of the rectum, distal cut surface of the tumor after pathological examination no residual cancer, rectal cancer did not exceed the whole floor, including 4 cases of mesenteric lymph node metastasis, postoperative CF program (four H CF +5- FU) adjuvant chemotherapy for 3 to 5 cycles. 1.2 Procedures 1.2.1 Basic operation of abdominal surgery with a left abdominal Miss paramedian abdominal incision comprehensive careful exploration to determine the radical resection can do it, the first ligation of the inferior mesenteric artery and vein, sigmoid dissociation, before sweeping the left iliac vessels and inferior mesenteric artery fat and lymph nodes around the roots, and fully free of tumor and rectum distal rectum to the rear of the levator ani muscle coccygeal tip plane, the rectum into the prostate apex in front of men, women up to the vaginal wall 1 / 2, completely cut off the side of the rectum la