摘要
探讨在直肠癌前切除术中应用改良单吻合器法的实用性和安全性。按TME原则完全游离切除随肠后，经肛门在直肠残端内荷包缝合完成单吻合器吻合，肛门置入支撑引流管，其治疗低位直肠癌235例。结果，吻合口漏6例（2．6％，6／235），局部复发率4％（8／196），同期双吻合器组95例，分别为5.2％（5／95）和10．2％（9／88），两组差异有统计学意义（P〈0．05）。结果显示，低位直肠癌保肛手术中应用改良单吻合器法，可以完成直肠癌低位或超低位直肠前切除术后结直肠（或肛管）的吻合，操作更简便，提高了保肛手术成功率；直肠远切缘更充分，更符合TME要求；吻介更可靠，吻合11漏等并发症少，局部复发率低，节约费用，可以替代双吻合器法。
Feasibility and safety of the improved single stapler in the treatment of low rectal carcinoma were studied. After total mesorectal excision（TME）,the rectal stump was purse-string sutured via anus, and the anastomosis was done with the single stapler. The supporting drainage tube was then placed in the anus. Totally 235 such cases received the treatment with single stapler（group I）,and 95 such cases received the treatment with double stapler（group 2）. Anastomotic leakage rate and local recurrence rate in group 1 were 2.6% （6/235） and 4.0% （8/196） respectively,while that in group 2 were 5.2% （5/95） and 10.2% （9/88） respectively;there existed statistical significance （ P 〈0.05） between two groups. Results showed that the improved stapler applied in anuspreserving operations in surgical treatment of low rectal carcinoma is feasible in the colo-rectal（or anal） anastomosis after the anterior low（or extra low） resection of rectum, the operational maneuver is more simple,and the therapeutic effect is more reliable in terms of the advantages in TME, reliable anastomosis, less complication, lower local recurrence rate, decrease of cost, etc, thus can substitute for double stapling technic.
出处
《中国肛肠病杂志》
2005年第12期17-19,共3页
Chinese Journal of Coloproctology
关键词
吻合器
直肠前切除术
直肠肿瘤
Anastomotic stapler
Anterior rectectomy
Rectal neoplasms
