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題名 | Transanal Endoscopic Microsurgery in Rectal Tumors: Preliminary Results=直腸腫瘤用經肛門內視鏡顯微手術治療:初步結果 |
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作者姓名(中文) | 謝寶秀; 王正儀; 張簡俊榮; 陳進勛; 許寬成; 唐瑞平; 江支銘; 葉建裕; 林博彥; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 33:3 民89.05-06 |
頁次 | 頁119-122 |
分類號 | 416.245 |
關鍵詞 | 直腸腫瘤; 經肛門內視鏡顯微手術; Transanal endoscopic microsurgery; TEM; Rectal tumor; |
語文 | 英文(English) |
中文摘要 | 經肛門內視鏡顯微手術(TEM)適合於直腸腺瘤和直腸早期癌切除。共六例直腸腫瘤用TEM做局部切除;其中有三例為侵犯性癌,它們接受進一步的根治性直腸切除。只有一pT2病例有少許存餘腫瘤細胞。雖然沒有重大術後併發症和死亡,但是有一例發生短暫性肛門失禁和另一例為縫合處癒合不佳。 |
英文摘要 | Transanal endoscopic microsurgery (TEM) is indicated for the local treatment of rectal adenoma and early rectal cancer. We report six rectal tumor cases with local excision using the TEM method. There were three invasive carcinomas. (pT1=2, pT2=1) which received subsequent radical resection. Residual cancer cells were seen in the pT2 case only. There were neither major complication nor mortality. Two minor complications were noted: temporary anal incontinence and a minor anastomotic line breakdown. |
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