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Сфинктеро-съхраняващи операции при болни с карцином на ректума

П. Kуртев, В. Димитров, Л. Джонгов

Abstract

Развитието на хирургичната техника и новото разбиране за анатомията на ректума, функцията на дефекация, процеса на метастазиране, както и въвеждането на допълнителни методи за лечение (лъчетерапия и химиотерапия), доведоха до значително подобрение на локалния контрол и на преживяемостта на болните с карцином на ректума. Стандартната хирургия предполага премахване на ректума с мезентериума чрез срединна лапаротомия. Основна цел на сфинктеро-съхраняващата операция е възстановяването на чревния пасаж при оперативната интервенция по повод на карцином на ректума.

Keywords

история на сфинктеросъхраняващата операция; транссакрален достъп; абдомино-перинеална резекция; колоанална анастомоза

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DOI: http://dx.doi.org/10.14748/ssm.v45i0.883
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About The Authors

П. Kуртев
Клиника по коремна хирургия,СБАЛО-ЕАД, София
Bulgaria

Отделение по колопроктология

В. Димитров
Клиника по коремна хирургия,СБАЛО-ЕАД, София
Bulgaria

Отделение по колопроктология

Л. Джонгов
Клиника по коремна хирургия,СБАЛО-ЕАД, София
Bulgaria

Отделение по колопроктология

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