ObjectiveTo investigate the cause of stoma recurrence after anterior resection of rectal cancer and discover the methods of prevention and treatment.MethodsA total 91 patients with stoma recurrence after anterior resection of rectal cancer (or Dixon) were analysed retrospectively between 1985 and 1996. Fourtyseven patients experienced reradical resection (Miles), 27 cases palliative resection, and 11 cases only exploration. Thirtytwo cases had been followed up for 5 years and obtained 1，3，5year survival rate for reradical radical resection (Miles). Diagnosis and treatment of stomal recurrence after Dixon were evaluated. ResultsOne, three and fiveyear survival rate of reradical resection (Miles) was 93%，77%，45% respectively.ConclusionTo amplify blindly the adaptation of Dixon is to raise the rate of stoma recurrence. Digital rectal examination and fiberopic colonoscopy (and biopsy) are very essential methods for the diagnosis of stoma recurrence, and we strive to do reradical resection (Miles) for the patients with stoma recurrence after Dixon’s operation.
Citation：
LIU Jinlin,XIAO Guxin. Cause Analysis of Stoma Recurrence after Anterior Resection of Rectal Cancer (Report of 91 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(2): 111-113. doi:
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- 2. 童仕伦，王竹平. 复发性大肠癌的诊断与治疗 [J]. 腹部外科， 2000； 13（5）∶269.
- 3. Filipe MI. Value of histochemical reactions for mucosubstances in the diagnosis of certain pathological conditions of the colon and rectum [J]. Gut, 1969; 10(7)∶ 577.
- 4. Phillips RK. Adequate distal margin of resection for adenocarcinoma of the rectum [J]. World J Surg, 1992; 16(3)∶463.
- 5. Greaves P, Filipe MI, Branfoot AC. Transitional mucosa and survival in human colorectal cancer [J]. Cancer, 1980; 46(4)∶764.
- 6. 冯茂辉，杨国梁，王米娜，等. 直肠癌旁移行粘膜p53、p21表达及其临床意义 [J]. 中华实验外科杂志， 1998； 15（1）∶３８.
- 7. Shirouzu K, Isomoto H, Kakegawa T. Distal spread of rectal cancer and optimal distal margin of resection for sphincterpreserving surgery [J]. Cancer, 1995; 76(3)∶388.
- 8. 许玉成，陈元勇，庄竟，等. 直肠癌远侧肠壁浸润规律的探讨 [J]. 外科理论与实践， 1998； 3（3）∶148.
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