1)直腸癌に対する最近の外科治療 : 超低位前方切除術の根治性と排尿状況(シンポジウム 下腹部腫瘍の診断と治療, 第512回新潟医学会)

フォーマット:

論文(リポジトリ)

責任表示:

須田, 武保 ; 島村, 公年 ; 神田, 達夫 ; 岡本, 春彦 ; 酒井, 靖夫 ; 畠山, 勝義

出版情報:

新潟医学会, 1997-01

掲載情報:

新潟医学会雑誌 — 新潟医学会雑誌

ISSN:

00290440      

著者名:

須田, 武保

島村, 公年

神田, 達夫

岡本, 春彦

酒井, 靖夫

畠山, 勝義

続きを見る

巻:

111

通号:

1

開始ページ:

1

終了ページ:

6

概要:

The aim of this study was to investigate the curability of a sphincter-saving operation using a colonic J pouch-anal anastomosis for lower rectal carcinoma and the postoperative result of urinary function after an autonomic nerve preservati … on procedure. Materials and methods：Forty-three patients who were treated with coloanal anastomosis, 33 of whom received the J type and 10 the straight type, were discussed. Results：The total rate of recurrence of rectal carcinoma（n＝39）was 20.5%, with a 17.9% rate of distant metastasis and a pelvic recurrence rate of 2.6%, but no anastomotic recurrence. The five-year survival rate after curative resection was 84.3% in all cases. The incidence of neurogenic bladder was a lower rate in autonomic nerve preserving group（16.7%）than in autonomic nerve non-preserving group（53.8%）. Conclusion：The sphincter-saving operation with colonic J pouch-anal anastomosis does not prejudice cure of this carcinoma. And the autonomic nerve preservation procedure was successful in minimizing urinary dysfunction. 続きを見る

E-Resources: