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Objective To explore the therapeutic effect of total pelvic exenteration for advanced rectal carcinoma.Methods 15 patients with advanced rectal carcinoma were operated with TPE,including total rectal,distal end of sigmoid colon,bladder,posterior urethra,anus,intrapelvic sexual organ and side lymph node,and the survival rate was estimated.

目的 探讨全盆腔脏器切除治疗晚期直肠癌的临床疗效方法采用Miles 手术方式基础,包括肿瘤在内全部切除直肠、乙状结肠远侧段、膀胱、远侧输尿管、后尿道、肛门及盆腔内的生殖器官,同时行盆腔内的侧方淋巴结清扫,并进行随访。

Methods 15 patients with advanced rectal carcinoma were operated with TPE,including total rectal,distal end of sigmoid colon,bladder,posterior urethra,anus,intrapelvic sexual organ and side Lymphnode,and the survival rate was estimated.

采用Miles手术方式为基础,包括全部直肠。乙状结肠远侧段、膀胱、远侧输尿管、后尿道、肛门及盆腔内的生殖器官,同时行盆腔内的侧方淋巴结清扫,并进行随访。

Methods 15 patients with advanced rectal carcinoma were operated with TPE,including total rectal,distal end of sigmoid colon,bladder,posterior urethra,anus,intrapelvic sexual organ and side lymph node,and the survival rate was estimated.

采用Miles手术方式为基础,包括肿瘤在内全部切除直肠、乙状结肠远侧段、膀胱、远侧输尿管、后尿道、肛门及盆腔内的生殖器官,同时行盆腔内的侧方淋巴结清扫,并进行随访。

Methods 15 patients with advanced rectal carcinoma were operated with TPE,including total rectal,distal end of sigmoid colon,bladder,posterior urethra,anus,intrapelvic sexual organ and side Lymphnode,and the survival rate was estimated.

乙状结肠远侧段、膀胱、远侧输尿管、后尿道、肛门及盆腔内的生殖器官,同时行盆腔内的侧方淋巴结清扫,并进行随访。

Because preoperative differentiation of the three hernia types involving the sigmoid mesocolon is often difficult, the diagnosis is confirmed only with surgical management in most cases.

由于术前鉴别这三种累及乙状结肠系膜的疝常常很困难,因此在绝大多数的病例中只有通过手术才能确诊。

Results One case with transverse mesocolon pore hernia, one with obturator hernia and one with paracecal hernia were confirmed by exploratory laparotomy. There were six cases whose hernias resulted from the fall of export jejuna into import jejuna after Billroth II anastomoses in front of colons, five from the pelvic bottoms' peritoneal fissure and four from the fissure appearing between descending colon and lateral abdominal wall after Miles' operation, one from greater omental adhesion to sigmoidal wall after sigmoidostomy, and one from inflammatory adhesion on the basis of Meckel's diverticulum. The other 17 cases' hernias (48.7%) were caused by the fissure among celiac adhesive bands, peritonea, celiac organs, enteric walls and intestines.

结果 剖腹探查手术证实为横结肠系膜裂孔疝1例;闭孔疝1例;盲肠旁疝1例;毕Ⅱ式结肠前吻合术后输出段空肠疝入输入段空肠与横结肠系膜间隙6例;Miles术后盆底腹膜裂开所致内疝5例;Miles术后降结肠与侧腹壁形成的间隙致内疝4例;大网膜与乙状结肠造口肠壁粘连形成内疝1 例;1例在梅克尔憩室基础上发生炎性粘连形成腹内疝;因腹腔粘连带与腹膜、腹腔脏器、肠壁、肠与肠之间的孔隙改变形成内疝17例(48.7%)。

Methods By using immunohistochemistry and computer assistant image analysis system, NOS, SOM and 5-HT immunoreactivity were examined in myenteric plexus of sigmoid colon resected from 15 patients with STC.

用免疫组织化学法结合计算机辅助的图像分析技术检测15例STC患者乙状结肠肌间丛一氧化氮合酶、SOM及5-HT的免疫反应性变化。

Outcome of interest was receipt of recommended therapy defined as surgery only or surgery with adjuant chemo- or radiotherapy (stage III colon or stage II/III rectal/rectosigmoid cancer).

目的结果是接受推荐的手术或辅以化疗和放疗方案治疗的II 期或III期结肠癌及II/III期直肠癌或乙状结肠直肠癌患者。

The cut end was placed with the anvil and made a purse - string suture, then it was put back into the peritoneal cavity.

腹腔镜乙状结肠代阴道成形术是完全可行的,较开腹手术的效果更理想。

Adhering band between the sigmoid colon and the left gluteus maximus is the outset in the lateral dissection in the left coloectomy.

乙状结肠和左侧腰大肌筋膜之间的粘连带是左半结肠切除术外侧分离的起点。

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这一模式非常关注商人的网络信用基础。

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