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《Chinese Journal of Modern Operative Surgery》 2007-04
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Modified Bacon Operation in Sphincter-preserving Surgery for Low Rectal Cancer

HUANG Ping,WANG Feng,ZHAO YI,YANG Xiao-dong,GAO Yi-fei,CHEN Xian-gui,LI De-chuan,LOU Rong-can(Department of General Surgery,The First Clinical Hospital Affiliated to Nanjing Medical University,Nanjing 210029,Jiangsu,China)  
Objective To evaluate the roles of the modified Bacon operation in sphincter-preserving surgery for low rectal cancer.Method The clinical data of 38 patients from August 1998 to December 2002 underwent modified Bacon operation were reviewed.All the patients were trained by anal expanding and construction everyday for 6 months.Results There was no complication such as anastomotic fistula or stenosis.But 1 patient occurred necrosis in unnecessary colon at 2 days after operation.All the patients were satisfied with continence for flatus and defecation,with the defecation frequency of 1~2 times per day in 16,3~4 times per day in 20,and more than 4 times per day in 2.The anus continence function evaluation was excellent in 25,fine in 13.During the 4.2 to 9.1 years follow-up,1 case occurred pelvic relapse,and died of bilateral uretal obstruction and renal failure.Conclusion In sphincter-preserving operation,the modified Bacon operation can be applied when double stapling technique can not achieved.
【CateGory Index】: R735.37
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