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《Journal of Medical Forum》 2003-16
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Anal Sphincter and Autonomic Nerve Preserving Surgery for Low Rectal Cancer

You Wei,Lu Xiaoming Department of General Surgery,Henan Provencial People's Hospital,Zhengzhou,450003,China  
Objective To evaluate the effect on postoperative urinary and sexual function and local recurrence of the surgery of anal sphincter and autonomic nerve preserving for low rectal cancer. Methods The surgery of anal sphincter and autonomic nerve preserving was performed on 46 cases of low rectal cancer.Nerve were fully preserved in 38 cases of Dukes A,B stage,one side nerve preserved in 6 cases of stage C,or only pelvic nerve preserved in another 2.The anastomosis was performed with double stapling procedure after proctocolectomy.Results Erection and ejaculation remained in Dukes A,B in 92.4%,100%;2cases suffered temparary urinary dysfunction;4 cases suffered erection dysfunction,sexual function were lost in 5 cases of C stage.There were 2 cases suffered from anastomotic fistula and 2 cases from local recurrence.Conclusion The surgery with anal sphincter and autonomic nerve preserved for low rectal cancer is effective to reduce the postoperative urinary and sexual dysfunctiom,while maintaining a better life qulity.
【CateGory Index】: R735.37
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