Preliminary Outcome of Individualized Abdominoperineal Excision for Locally Advanced Low R

Preliminary Outcome of Individualized Abdominoperineal Excision for Locally Advanced

Low Rectal Cancer

Yi Zheng;Jia-Gang Han;Zhen-Jun Wang;Zhi-Gang Gao;Guang-Hui Wei;Zhi-Wei Zhai;Bao-Cheng Zhao

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2018(131)011 【

摘

要

】

Background:The

introduction

of

individualized

abdominoperineal excision (APE) may minimize operative trauma and reduce the rate of complications.The purpose of this study was to evaluate the safety and efficacy of individualized APE for low rectal cancer.Methods:Fifty-six patients who underwent individualized APE from June 2011 to June 2015 were evaluated retrospectively in Beijing Chaoyang Hospital,Capital Medical University.The main outcome measures

were

circumferential

resection

margin

(CRM)

involvement,intraoperative perforation,postoperative complications,and local recurrence.Statistical analysis was performed using SPSS version 16.0.Results:Fifty

(89

％

)

patients

received

preoperative

chemoradiotherapy:51 (91％) patients were treated with the sacrococcyx preserved;27 (48％) patients with the levator ani muscle partially preserved bilaterally;20 (36％) patients with the levator ani muscle partially preserved unilaterally and the muscle on the opposite side