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1、HansJournalofSurgery外科,2015,4(4),41-47PublishedOnlineOctober2015inHans.http://www.hanspub.org/journal/hjshttp://dx.doi.org/10.12677/hjs.2015.44008ResearchProgressionofExtralevatorAbdominoperinealExcisionforLowRectalCancerWanbinYin1,JilinHu1,GuangweiLiu2
2、,NanyangZhang3,YunLu1*1DepartmentofGeneralSurgery,TheHuangdaoBranchoftheAffiliatedHospitalofQingdaoUniversity,QingdaoShandong2DepartmentofOutpatient,TheHuangdaoBranchoftheAffiliatedHospitalofQingdaoUniversity,QingdaoShandong3MedicalAnimalLaboratory,TheH
3、uangdaoBranchoftheAffiliatedHospitalofQingdaoUniversity,QingdaoShandong*Email:cloudylucn@126.comstththReceived:Aug.1,2015;accepted:Aug.15,2015;published:Aug.18,2015Copyright?2015byauthorsandHansPublishersInc.ThisworkislicensedundertheCreativeCommonsAttr
4、ibutionInternationalLicense(CCBY).http://creativecommons.org/licenses/by/4.0/AbstractIthasbeenreportedthattheconventionalabdominoperinealexcisionhasthedisadvantagesofhigherratesofpositivecircumferentialresectionmarginandintraoperativebowelperforation.Ex
5、tralevatorabdominoperinealexcision(ELAPE)hasbecomeincreasinglyusedbecauseofsomeevidenceofimprovedoncologicaloutcome.Thesuperiorityofextralevatorabdominoperinealex-cision(ELAPE)overconventionalabdominoperinealexcision(APE)remainscontroversial,despitethep
6、ublicationofmanystudiesonthisissue.Theaimofthispaperwastoreviewtheresearchprogressionofextralevatorabdominoperinealexcisionforlowrectalcancer.KeywordsRectalNeoplasms,ExtralevatorAbdominoperinealExcision肛提肌外腹會陰聯(lián)合切除術(shù)治療低位直腸癌的研究進展11231*尹萬斌,胡繼霖,劉廣偉,張楠陽,盧云*通訊
7、作者。文章引用:尹萬斌,胡繼霖,劉廣偉,張楠陽,盧云.肛提肌外腹會陰聯(lián)合切除術(shù)治療低位直腸癌的研究進展[J].外科,2015,4(4):41-47.http://dx.doi.org/10.12677/hjs.2015.44008尹萬斌等1青島大學(xué)附屬醫(yī)院黃島院區(qū)普外科,山東青島2青島大學(xué)附屬醫(yī)院門診部,山東青島3青島大學(xué)附屬醫(yī)院醫(yī)學(xué)動物實驗室,山東青島*Email:cloudylucn@126.com收稿日期:2015年8月1日;錄用日期:2015年8月15日;發(fā)布日期:2015年8月18日摘要傳統(tǒng)
8、的腹會陰聯(lián)合直腸切除術(shù)(abdominoperinealexcision,APE)存在環(huán)周切緣陽性率高及術(shù)中穿孔率較高而影響預(yù)后的缺點。肛提肌外腹會陰聯(lián)合切除術(shù)(exralevatorabdominoperinealexcision,ELAPE)被報道具有腫瘤學(xué)優(yōu)勢,最近應(yīng)用越來越多。盡管相關(guān)報道很多,但是,ELAPE是否比傳統(tǒng)APE具有優(yōu)勢仍然有很多爭議。本文就ELAPE治療低位直腸癌的研究進展做一綜述。關(guān)鍵詞直腸腫瘤,肛提肌外腹會陰聯(lián)合切除術(shù)1.引言