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Application of pelvic exenteration for locally recurrent rectal cance
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1671-0274.2001.04.006
- Key Word:
- 直肠肿瘤;局部复发;盆腔脏器联合切除;治疗
Abstract： 目的评价盆腔脏器联合切除术对局部复发型直肠癌的治疗意义.方法对我院33例局部复发型直肠癌应用盆腔脏器联合切除术治疗的病例进行回顾性总结.结果 33例患者中17例接受全盆腔脏器切除术治疗,14例接受后盆腔脏器切除术;2例为直肠癌合并输尿管下段切陈29例(87.9%)手术为根治性,手术死亡率3 0%.盆腔受累最多的器官是骶前组织和阴道.术后约88 9%的患者疼痛症状消失.8例(24.2%)再次复发,并再次手术.全组2、3、5年生存率分别为36 4%、21.2%、18.2%.结论积极的盆腔脏器联合切除术可以明显改善局部复发型直肠癌的预后,提高术后生活质量
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