[Clinical study of five combined operation for anus reconstruction].

OBJECTIVE

To study the effect of five combined operation for anus reconstruction after Miles operation in patients with lower colorectal cancer.

METHODS

60 patients with lower colorectal cancers received Miles operation, followed by five combined operation for anus reconstruction (internal and external anal sphincter, rectal flap, rectal angle, anus perineal reconstruction).

RESULTS

5-6 days after operation, all cases had desire to excretion.2-3 weeks lateral, all cases desired to control excretion and excreted 1 or 2 times per-day. Internal rectum testing showed the static pressure in anus, the constrictive pressure, and the static pressure in rectum were all normal. The survival rate of patients over 5 years was beyond 88％.

CONCLUSIONS

It suggests that five combined operation for anus reconstruction after Miles operation could avoid man-made anus on abdomen. It can improve the patients' life quality, long-term survival rate. And it's also economical method for patients.