低位直肠癌经肛提肌外腹会阴联合切除术研究进展
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摘要
<正>直肠癌是发病率较高的一种恶性肿瘤[1, 2]。而低位直肠是直肠癌高发部位,因其解剖位置的特殊性,是治疗的难点。低位直肠癌通常被定义为距离肛缘<5 cm或距离肛管直肠交界处<3 cm的直肠癌[3]。腹会阴联合切除术(abdominoperineal resection,APR)是治疗低位直肠癌不保肛手术的标准术式。但研究发现传统的APR手术存在较高的标本环周切缘
引文
[1]Siegel RL,Miller KD,Jemal A.Cancer statistics,2017[J].CA Cancer JClin,2017,67(1):7-30.
[2]Chen W,Zheng R,Baade PD,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66(2):115-132.
[3]Tytherleigh MG,McC Mortensen NJ.Options for sphincter preservation in surgery for low rectal cancer[J].Br J Surg,2003,90(8):922-933.
[4]Wibe A,Syse A,Andersen E,et al.Oncological outcomes after total mesorectal excision for cure for cancer of the lower rectum:anterior vs.abdominoperineal resection[J].Dis Colon Rectum,2004,47(1):48-58.
[5]Shihab OC,Heald RJ,Rullier E,et al.Defining the surgical planes on MRI improves surgery for cancer of the low rectum[J].Lancet Oncol,2009,12(10):1207-1211.
[6]Miles WE.A method of performing abdominoperineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon[J].Lancet,1908,172(4451):1812-1813.
[7]Heald RJ,Ryall RD.Recurrence and survival after total mesorectal excision for rectal cancer[J].Lancet,1986,1(8496):1479-1482.
[8]Law WL,Chu KW.Abdominoperineal resection is associated with poor oncological outcome[J].Br J Surg,2004,91(11):1493-1499.
[9]Marr R,Birbeck K,Garvican J,et al.The modern abdominoperineal excision:the next challenge after total mesorectal excision[J].Ann Surg,2005,242(1):74-82.
[10]Holm T,Ljung A,H?ggmark T,et al.Extended abdominoperineal resection with gluteus maximus flap reconstruction of the pelvic floor for rectal cancer[J].Br J Surg,2007,94(2):232-238.
[11]West NP,Finan PJ,Anderin C,et al.Evidence of the Oncologic Superiority of Cylindrical Abdominoperineal Excision for Low Rectal Cancer[J].J Clin Oncol,2008,26(21):3517-3522.
[12]West NP,Anderin C,Smith KJ,et al.Multicentre experience with extralevator abdominoperineal excision for low rectal cancer[J].Br JSurg,2010,97(4):588-599.
[13]Shihab OC,Heald RJ,Holm T,et al.A pictorial description of extralevator abdominoperineal excision for low rectal cancer[J].Colorectal Dis,2012,14(10):e655-e660.
[14]翟丽东,刘瑾,袁武,等.直肠阴道隔的解剖学研究及其临床意义[J].中国临床解剖学杂志,2009,27(4):405-407.
[15]张鑫,申占龙,谢启伟,等.肛提肌外腹会阴联合切除术与传统腹会阴联合切除术治疗低位直肠癌的对比研究[J].中华胃肠外科杂志,2014,17(11):1106-1110.
[16]Holm T.Controversies in abdominoperineal excision[J].Surg Oncol Clin N Am,2014,23(1):93-111.
[17]Shen Z,Ye Y,Zhang X,et al.Prospective controlled study of the safety and oncological outcomes of ELAPE procure with definitive anatomic landmarks versus conventional APE for lower rectal cancer[J].Eur JSurg Oncol,2015,41(4):472-477.
[18]Seshadri RA,West NP,Sundersingh S.A pilot randomized study comparing extralevator with conventional abdominoperineal excision for low rectal cancer after neoadjuvant chemoradiation[J].Colorectal Dis,2017,19(7):O253-O262.
[19]Ortiz H,Ciga MA,Armendariz P,et al.Multicentre propensity scorematched analysis of conventional versus extended abdominoperineal excision for low rectal cancer[J].Br J Surg,2014,101(7):874-882.
[20]Prytz M,Angenete E,Bock D,et al.Extralevator abdominoperineal excision for low rectal cancer-extensive surgery to be used with discretion based on 3-year local recurrence results:a registry-based,observational national cohort study[J].Ann Surg,2016,263(3):516-521.
[21]Anderin C,Martling A,Lagergren J,et al.Short-term outcome after gluteus maximus myocutaneous flap reconstruction of the pelvic floor following extralevator abdominoperineal excision of the rectum[J].Colorectal Dis,2012,14(9):1060-1064.
[22]Peacock O,Simpson JA,Tou SI,et al.Outcomes after biological mesh reconstruction of the pelvic floor following extralevator abdominoperineal excision of rectum(APER)[J].Tech Coloproctol,2014,18(6):571-577.
[23]Musters GD,Klaver CEL,Bosker RJI,et al.Biological mesh closure of the pelvic floor after extralevator abdominoperineal resection for rectal cancer:a multicenter randomized controlled trial(the BIOPEX-study)[J].Ann Surg,2017,265(6):1074-1081.
[24]Musters GD,Buskens CJ,Bemelman WA,et al.Perineal wound healing after abdominoperineal resection for rectal cancer:a systematic review and meta-analysis[J].Dis Colon Rectum,2014,57(9):1129-1139.
[25]Jensen KK,Rashid L,Pilsgaard B,et al.Pelvic floor reconstruction with a biological mesh after extralevator abdominoperineal excision leads to few perineal hernias and acceptable wound complication rates with minor movement limitations:single-centre experience including clinical examination and interview[J].Colorectal Dis,2014,16(3):192-197.
[26]王振军,钱群,戴勇,等.肛提肌外腹会阴联合切除术治疗低位进展期直肠癌的前瞻性多中心研究[J].中华外科杂志,2014,52(1):11-15.
[27]梁志平,杨永裕,武天同,等.直肠癌手术相关腹膜后自主神经的筋膜解剖学观察[J].中国临床解剖学杂志,2019,37(2):121-125.
[2]Chen W,Zheng R,Baade PD,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66(2):115-132.
[3]Tytherleigh MG,McC Mortensen NJ.Options for sphincter preservation in surgery for low rectal cancer[J].Br J Surg,2003,90(8):922-933.
[4]Wibe A,Syse A,Andersen E,et al.Oncological outcomes after total mesorectal excision for cure for cancer of the lower rectum:anterior vs.abdominoperineal resection[J].Dis Colon Rectum,2004,47(1):48-58.
[5]Shihab OC,Heald RJ,Rullier E,et al.Defining the surgical planes on MRI improves surgery for cancer of the low rectum[J].Lancet Oncol,2009,12(10):1207-1211.
[6]Miles WE.A method of performing abdominoperineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon[J].Lancet,1908,172(4451):1812-1813.
[7]Heald RJ,Ryall RD.Recurrence and survival after total mesorectal excision for rectal cancer[J].Lancet,1986,1(8496):1479-1482.
[8]Law WL,Chu KW.Abdominoperineal resection is associated with poor oncological outcome[J].Br J Surg,2004,91(11):1493-1499.
[9]Marr R,Birbeck K,Garvican J,et al.The modern abdominoperineal excision:the next challenge after total mesorectal excision[J].Ann Surg,2005,242(1):74-82.
[10]Holm T,Ljung A,H?ggmark T,et al.Extended abdominoperineal resection with gluteus maximus flap reconstruction of the pelvic floor for rectal cancer[J].Br J Surg,2007,94(2):232-238.
[11]West NP,Finan PJ,Anderin C,et al.Evidence of the Oncologic Superiority of Cylindrical Abdominoperineal Excision for Low Rectal Cancer[J].J Clin Oncol,2008,26(21):3517-3522.
[12]West NP,Anderin C,Smith KJ,et al.Multicentre experience with extralevator abdominoperineal excision for low rectal cancer[J].Br JSurg,2010,97(4):588-599.
[13]Shihab OC,Heald RJ,Holm T,et al.A pictorial description of extralevator abdominoperineal excision for low rectal cancer[J].Colorectal Dis,2012,14(10):e655-e660.
[14]翟丽东,刘瑾,袁武,等.直肠阴道隔的解剖学研究及其临床意义[J].中国临床解剖学杂志,2009,27(4):405-407.
[15]张鑫,申占龙,谢启伟,等.肛提肌外腹会阴联合切除术与传统腹会阴联合切除术治疗低位直肠癌的对比研究[J].中华胃肠外科杂志,2014,17(11):1106-1110.
[16]Holm T.Controversies in abdominoperineal excision[J].Surg Oncol Clin N Am,2014,23(1):93-111.
[17]Shen Z,Ye Y,Zhang X,et al.Prospective controlled study of the safety and oncological outcomes of ELAPE procure with definitive anatomic landmarks versus conventional APE for lower rectal cancer[J].Eur JSurg Oncol,2015,41(4):472-477.
[18]Seshadri RA,West NP,Sundersingh S.A pilot randomized study comparing extralevator with conventional abdominoperineal excision for low rectal cancer after neoadjuvant chemoradiation[J].Colorectal Dis,2017,19(7):O253-O262.
[19]Ortiz H,Ciga MA,Armendariz P,et al.Multicentre propensity scorematched analysis of conventional versus extended abdominoperineal excision for low rectal cancer[J].Br J Surg,2014,101(7):874-882.
[20]Prytz M,Angenete E,Bock D,et al.Extralevator abdominoperineal excision for low rectal cancer-extensive surgery to be used with discretion based on 3-year local recurrence results:a registry-based,observational national cohort study[J].Ann Surg,2016,263(3):516-521.
[21]Anderin C,Martling A,Lagergren J,et al.Short-term outcome after gluteus maximus myocutaneous flap reconstruction of the pelvic floor following extralevator abdominoperineal excision of the rectum[J].Colorectal Dis,2012,14(9):1060-1064.
[22]Peacock O,Simpson JA,Tou SI,et al.Outcomes after biological mesh reconstruction of the pelvic floor following extralevator abdominoperineal excision of rectum(APER)[J].Tech Coloproctol,2014,18(6):571-577.
[23]Musters GD,Klaver CEL,Bosker RJI,et al.Biological mesh closure of the pelvic floor after extralevator abdominoperineal resection for rectal cancer:a multicenter randomized controlled trial(the BIOPEX-study)[J].Ann Surg,2017,265(6):1074-1081.
[24]Musters GD,Buskens CJ,Bemelman WA,et al.Perineal wound healing after abdominoperineal resection for rectal cancer:a systematic review and meta-analysis[J].Dis Colon Rectum,2014,57(9):1129-1139.
[25]Jensen KK,Rashid L,Pilsgaard B,et al.Pelvic floor reconstruction with a biological mesh after extralevator abdominoperineal excision leads to few perineal hernias and acceptable wound complication rates with minor movement limitations:single-centre experience including clinical examination and interview[J].Colorectal Dis,2014,16(3):192-197.
[26]王振军,钱群,戴勇,等.肛提肌外腹会阴联合切除术治疗低位进展期直肠癌的前瞻性多中心研究[J].中华外科杂志,2014,52(1):11-15.
[27]梁志平,杨永裕,武天同,等.直肠癌手术相关腹膜后自主神经的筋膜解剖学观察[J].中国临床解剖学杂志,2019,37(2):121-125.