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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肛提肌外腹会阴联合切除术治疗低位直肠癌的研究进展11231*尹万斌,胡继霖,刘广伟,张楠阳,卢云*通讯
7、作者。文章引用:尹万斌,胡继霖,刘广伟,张楠阳,卢云.肛提肌外腹会阴联合切除术治疗低位直肠癌的研究进展[J].外科,2015,4(4):41-47.http://dx.doi.org/10.12677/hjs.2015.44008尹万斌等1青岛大学附属医院黄岛院区普外科,山东青岛2青岛大学附属医院门诊部,山东青岛3青岛大学附属医院医学动物实验室,山东青岛*Email:cloudylucn@126.com收稿日期:2015年8月1日;录用日期:2015年8月15日;发布日期:2015年8月18日摘要传统
8、的腹会阴联合直肠切除术(abdominoperinealexcision,APE)存在环周切缘阳性率高及术中穿孔率较高而影响预后的缺点。肛提肌外腹会阴联合切除术(exralevatorabdominoperinealexcision,ELAPE)被报道具有肿瘤学优势,最近应用越来越多。尽管相关报道很多,但是,ELAPE是否比传统APE具有优势仍然有很多争议。本文就ELAPE治疗低位直肠癌的研究进展做一综述。关键词直肠肿瘤,肛提肌外腹会阴联合切除术1.引言