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《Chinese Journal of Gastrointestinal Surgery》 2006-02
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Efficacy of intersphincteric resection in the sphincter-preserving operation for ultra-lower rectal cancer

WANG Zhen-jun,LIANG Xiao-bo,YANG Xin-qing,YANG Bin,HUANG Yan-ting. Department of General Surgery,Affiliated Beijing Caoyang Hospital,Capital Medical University,Beijing 100020,China  
Objective To evaluate the clinical efficacy of intersphincteric resection in the sphincter-preserving operation for ultra-lower rectum cancer. Methods Thirty-one rectal cancer patients with the distal edge of the tumour less than 2 cm from the dentate line were evaluated. Eighteen advanced rectal cancer patients received preoperative chemo-radiation. Total mesorectal excision(TME) was performed with the rectum immobilized down,and the puborectal ligament and partial levator cut to the level of the dentate line. In some well-exposed patients,it was possible to further immobilize the rectum between the external spincter ring and the rectum inner sphincter wall. In anal approach,good exposure was attained and the cut-line was made vertically to the anal canal 2 cm below the lower edge of the tumor,and further intersphincteric immobilization was made upright. Colon or colon pouch were anastomosed to the distal anal wall. Results There was no peri-operative death. Thirty patients had good fecal control. Twenty-nine patients showed no evidence of recurrence or metastasis after follow-up for 12 months. Recurrence occurred in one case 1 year after operation. Another one had higher CEA 19.9 level,but without evidence of metastasis. Conclusion Radical resection can be attained and anal sphincter preserved by intersphincter resection which is an alternative sphincter-preserving operation.
【CateGory Index】: R735.37
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Chinese Journal Full-text Database 4 Hits
1 Qiu Huizhong Zhou Jiaolin Department of General Surgery,Peking Union Medical College Hospital,CAMS & PUMC,Beijing 100730,China.;Several issues concerning the sphincter preserving surgery for rectal cancer[J];Oncology Progress;2009-03
2 SUN Xue-jun,LV Chun-hua,HAN Gang,et al.Department of General Surgery,the 89th Hospital of PLA,Weifang,Shandong 261021,China;Application of sustaining-tube ligation procedure for colo-anal anastomoses via intersphincteric resection in the treatment of ultra-low rectal carcinoma[J];Practical Journal of Medicine & Pharmacy;2011-03
3 ZHAO Hanpeng,ZHANG Weiliang,XU Shennan,LU Xusheng (The people's hospital of PuNing city,Guangdong Puning 515300 ,china);Analysis with 82 cases of through anus inside fit together to cure the low rectal cancer[J];China Modern Medicine;2009-07
4 CHEN Xiao-long1,DENG Lei1,WANG Xiao-dong2,LI Li2.1.West China Medical School/West China Hospital MCQ Team,Sichuan University,Chengdu 610041,China;2.Center of Gastrointestinal Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Research Advancements of Oncological Outcomes Following Intersphincteric Resection and Influencing Factors[J];Chinese Journal of Bases and Clinics in General Surgery;2010-05
China Proceedings of conference Full-text Database 1 Hits
1 ZUO Zhi-gui,SONG Hua-yu,LI Ji et all.The Colorectal Surgery Department of the First Affiliated Hospital of Wenzhou Medical College,Wenzhou,Zhejiang 32500;Cinical results and evaluation about anal function of Sphincter- Preserving for Ultra-Low Rectal Cancer Using Per Anum Intersphincteric Rectal Resection Combined Hand-sewn Coloanal Anastomasis[A];[C];2009
Chinese Journal Full-text Database 2 Hits
1 Wang Zhenjun*, Wan Yuanlian, Yang Bin, et al.*Department of Surgery,Peking Hospital,Beijing 100034,China;Effect of short-term preoperative radiochemotherapy on the treatment of advanced low rectal cancer[J];Chinese Journal of Practical Surgery;2003-03
2 Yu Baoming,Wu Weiqing.Department of Surgery,Ruijin Hospital,Shanghai Secend Medical University,Shanghai 200025,China;Neoadjuvant chemoradiotherapy combined with TME in treatment for locally advanced low rectal cancer (LALRC).[J];Chinese Journal of Practical Surgery;2005-05
Chinese Journal Full-text Database 10 Hits
1 Tong Chuang, Wang Jianguo, Wang JiamiDepartment of General Surgery,The First People's Hospital of Hefei,Hefei 230061[;Total mesorectal excision with double stapling technique in lower rectal carcinoma[J];Anhui Medical Journal;2005-03
2 Zhi-Zhong Pan,1,2 Pei-Rong Ding,1,2 De-Sen Wan,1,2 Li-Ren Li,1,2 Xiao-Jun Wu,1,2 Zhen-Hai Lu,1,2 Ling-Heng Kong,1,2 Jun-Zhong Lin1,2 and Zhong-Guo Zhou1,21.State Key Laboratory of Oncology in South China, Guangzhou, Guangdong, 510060, P.R.China 2.Department of Colorectal Surgery, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, 510060, P.R.China;Prognosis of rectal cancer patients after total mesorectal excision[J];Chinese Journal of Cancer;2009-09
3 Yan Gang,Ye Tao,Yao Zeming,Shen Wenbin,Gu Feng;Stapling technique for locally advanced low rectal cancer[J];Journal of North Pharmacy;2010-06
4 Yao Jinhua(Department of Oncologic Surgery, Beijing Haidian Hospital, Beijing 100080);The application of rectal cancer total mesorectal exision in the treatment of lowerrectal cancer[J];Beijing Medical Journal;2006-08
5 JIA Zhongming,LIU Yan,Wang Xilong Affiliated Hospital of Binzhou Medical College,Binzhou 256603;Clinical analysis of recurrent rectum cancer[J];Journal of Binzhou Medical College;2005-02
6 Dept. of General Surgery, Guilin Medical College, Guilin 541001 Lu Congliang;THE RATIONALE AND SKILL IN LOW DIXON OPERATION FOR LOW RECTUM CANCER[J];Journal of Coloproctological Surgery;1997-01
7 Dong Xinshu,Zhao Peng,Gao Dengqun et al.(the Third Teaching Hospital of Haerbin Medical University);THE ANALYSIS OF APPLIANCE AND INDICATION OF DOUBLE ANASTOMAT IN LOW RECTAL CANCER THERAPY[J];Journal of Coloproctological Surgery;2001-01
8 Zhuang Jing ,Ji Sheqing Huang Changshan, et al.Department of Surgery, Henan Tumor Hospital,Zhengzhou.450008;PREVENTION AND TREATMENT OF ANASTOMOTIC LEAKAGE AFTER APPLING DOUBLE STAPLING DEVICE IN THE SPHINCTER PRESERVING SURGERY[J];Journal of Coloproctological Surgery;2002-03
9 Sui Yongling,Yang Daogui,Wei Facai,et al.Department of General Surgery,Liaocheng City People's Hospital,liao cheng 252000,Chian;The Treatment by strapping throuhg pipe support in the sigmoid colorectal anastomosis for mid-lower rectal cancer:a report of 132 cases[J];Journal of Coloproctological Surgery;2003-01
10 Lifahui zhanglianxin Department of general surgery ShaoGuan people's hospital;Surgical Resection of Elderly Patients with Advanced Rectal Cancer[J];Journal of Coloproctological Surgery;2004-04
China Proceedings of conference Full-text Database 3 Hits
1 Pan Zhi-Zhong~(1,2)Ding Pei-Rong,Wan De-Sen,Li Li-Ren,Wu Xiao-Jun,Lu Zhen-Hai,Lin Jun-Zhong,Zhou Zhong-Guo, Peng Zhi-Heng 1 State Key Laboratory of Oncology in Southern China,Guangdong,Guangzhou,510060 2 Department of Abdominal Surgery,Cancer Center of Sun Yat-sen University,Guangzhou,510060,P.R.China;Survival Analysis after Total Mesorectal Excision for Rectal Cancer[A];[C];2008
2 Guo peng, Zhang wei-ping, Sun jun-xi, Yan ting-zhong, Gao feng, Liu yong-guang, Li jian-min. Department of Coloproctoloyg Surgery, Weifang City People's Hospital , Shan- dong, 261041, China;Clinical research of therapy for colorectal cancer[A];[C];2006
3 Lu zhimei,etal:Department of Colorectal Surgery,No 8 Hospital WuHan 430010,China;Application of the one-layer suture manual technique in the anus reserved operation of low rectal cancer[A];[C];2006
Chinese Journal Full-text Database 10 Hits
1 SUN Xue-jun, LU CHun-hua, HUANG Feng-rui, et al. Department of General Surgery, the 89th Hospital of PLA,Weifang 261021,China;Application of sustaining bonding method for colo-anal anastomoses with internal sphincter preservation in the treatment of lower rectal cancer[J];Practical Journal of Medicine & Pharmacy;2007-07
2 WANG Xiang,SHAO Yong-fu,ZHOU Zhi-xiang,et al.Cancer Institute,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing,100021;Ultra-low Anterior Resection for Rectal Cancer[J];The Practical Journal of Cancer;2004-05
3 Qin Qian, Li Hong, Xiong Qiuhua, Li Junjiu, Wang Libin. Department of Surgery, Donghua Hospital of Dongguang, Dongguan 523013;To investigate the best surgical procedure for sphincter-saving resection for super-low rectal cancer[J];Digestive Surgery;2002-06
4 Jin-Chun Cong, Hong Zhang, Chun-Sheng Chen, En-Qing Liu, Department of Anorectal Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China;Biofeedback therapy can improve the anal sphincter function in patients with intersphincteric resection for low rectal cancer[J];World Chinese Journal of Digestology;2006-25
5 Qiu Huizhong,Lin Guole,Wu Bin,et al.Department of Surgery,Peking Uni on Medical College Hospital,Peking Union Medical College,Chinese Academy of Medi cal Sciences,Beijing 100730,China;The role of the sphincter preserving surgery with per-anal coloanal ana stomosis in low rectal cancer:report of 35 cases.[J];Chinese Journal of Practical Surgery;2005-03
6 LIU Kai,LI Zhe,DUAN Ji-cheng,et al.Department of Comprehensive Treatment Ⅲ of the Eastern Hepatobiliary Surgery Hospital,Affiliated to the Second Military Medical University,Shanghai200438,China;Prognostic factors of patients with synchronous liver metastasis from colon cancer that treated with simultaneous resection[J];Chinese Journal of Practical Surgery;2009-08
7 Yu Bin Li Yongtao Yu Yueming The Second Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang;The Effect of Colonic Pouch Construction on Improving Defecation after Resection for Rectal Carcinoma[J];Chinese Journal of Clinical Oncology;2007-23
8 YU Bin, LI Yongtao, YU Yueming The Second Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China;Detection of Rectal Cancer Infiltration in Circumferential Resection Margins Using Pathological Large Slices[J];Chinese Journal of Clinical Oncology;2008-22
9 LIN Guole, QIU Huizhong, ZHANG Taiping, Department of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China;Collection and pathological study on the intraperitoneal and intraluminal exfoliated cells in patients of colorectal cancer during surgery[J];CHINESE JOURNAL OF GENERAL SURGERY;2000-07
10 LI Yu-ming, ZHAN Wen-hua, HAN Fang-hai, HE Yu-long, PENG Jun-sheng, DONG Wen-guang, WANG Jian-ping, CAI Shi-rong, MA Jin-ping, ZHAO Gang. Department of Gastrointestinal and Pancreatic Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China;Prognosis of colorectal cancer with synchronous liver metastasis[J];Chinese Journal of General Surgery;2005-10
【Secondary References】
Chinese Journal Full-text Database 1 Hits
1 ZHAO Han-peng1,ZHANG Wei-liang2,XU Shen-nan2,LU Xu-sheng2,LI Li-nong1,MA Teng-fei1,WANG Cun-chuan3 1Department of General Surgery,Bao'an Hospital of Traditional Chinese Medicine(Shenzhen 518101,China)2Department of Second Surgery,the People's Hospital of Guangdong Puning(Puning 515300,China)3Minimally Invasive Center,the First Affiliated Hospital of Jinan University(Guangzhou 510630,China);Laparoscopic radical resection of rectal cancer of 12 cases via anal anastomosis[J];Chinese Journal of Current Advances in General Surgery;2010-05
【Secondary Citations】
Chinese Journal Full-text Database 2 Hits
1 WT5”BX]YU Baoming, LI Donghua, ZHENG Minhua,et al. Institute of Digestive Surgery,Affiliated Ruijin Hospital,Shanghai Second Medical University, Shanghai 200025, China. [WT5”HZ];Total mesorectal excision in low anterior resection with double stapling technique[J];Chiese Journal of Surgery;2000-07
2 WANG Zhenjun, WAN Yuanlian, LIU Yuchun, et al. Department of General Surgery, The First Hospital, Peking University, Beijing 100034, China;A sphincter saving procedure by partial dentate line and anal wall resection for super low rectal malignancy[J];Chinese Journal of Gastrointestinal Surgery;2002-02
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