Reconstruction of the external anal sphincter anatomy and application of basic.docVIP

 PAGE \* MERGEFORMAT 13 Reconstruction of the external anal sphincter anatomy and application of basic Of: Li Qi, Wang Yaxi, Hu Xiao, Liu years [Keywords:] anal sphincter reconstruction, anatomy, application progress Cancer is a common gastrointestinal malignancy, commonly used in surgery can be divided into anal sphincter preservation and does not retain two categories. For the low or ultra-low rectal cancer, to cure diseases, often with abdominal perineal resection (Miles surgery) surgery, postoperative abdominal wall fistula formation subject to a permanent colostomy, the lives of patients will cause great inconvenience and suffering. In order to improve the quality of life of patients after surgery, reconstruction of anal sphincter has become an important treatment method [1]. gracilis muscle transplantation Anoplasty is a commonly used method of reconstruction of anal sphincter, has been widely used. now gracilis muscle transplantation Anoplasty applications in cancer surgery and anatomy prospects summarized below. 1 Miles surgery and anal sphincter reconstruction Abdominal perineal resection of rectal cancer (Miles is the treatment of lower rectal cancer, the classic procedure, and for less than 7 cm from the anal margin of the lower rectal cancer. The scope of surgical resection of the sigmoid colon mesentery, including the rectum, anal canal, levator ani muscle, ischial rectal fossa organizations and the skin around the anus, the blood vessels in the root of inferior mesenteric artery ligation, the corresponding lymph node dissection, the abdominal wall will be pulled from the bottom of the colon in the abdomen as a permanent colostomy (artificial anus, it will perineal wound with a suture or gauze packing. This radical surgery, high cure rate, the radical intensity, surgical recurrence rate, fewer complications, 5-year survival rate, it is widely used. fecal incontinence in patients with rectal cancer surgery Miles common complication af