双吻合器技术在直肠癌中的应用  

The Role of Double Stapling Technique in Surgical Treatment of Rectal Cancer

作　　者：李胜文[1] 胡汉华[1] 赵之敬[1] 樊立[1] 

机构地区：[1]湖北省孝感市中心医院普外科,孝感432100

出　　处：《中国现代手术学杂志》2006年第6期431-433,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨双吻合器技术在直肠癌手术中的作用。方法回顾性分析2000年1月-2006年1月间采用双吻合器技术治疗的63例直肠癌患者的临床资料，其中肿瘤下缘距肛缘≤7cm者33例，7．1—11cm者21例，〉11cm者9例。结果21例吻合口距肛缘≤3cm，42例吻合口距肛缘3～7cm。术后发生吻合口漏3例（4．8％），吻合口狭窄6例（9．5％），伤口感染5例（7．9％），无手术死亡。全组均获随访，平均4．3（3～6）年，5例复发，其中3例行Miles术，随访仍健在，2例放弃手术治疗，分别死于肝转移和腹腔内广泛种植。结论双吻合器技术在直肠癌手术，尤其是在低位及超低位结直肠吻合中可拓展适应证，降低手术风险。Objective To study the role of double stapling technique in surgical treatment of rectal cancer. Methods Retrospective study was used to analyze the experience of double stapling technique in surgical treatment for 63 patients with rectal cancer from January 2000 to January 2003. The distance between lower edge of tumor and anal sphincter was less then 7 cm in 33 cases, 7.1 cm to 11 cm in 21 cases and more than 11cm in9 eases. Results There were 3 cases suffering from anastomotic fistula, 6 cases from anastomotic stenosis and wound infection in 5 cases. Cancer recurred postoperatively in 5 cases according to follow-up of 4.3 years in average, of which 3 cases underwent Mile＇s procedure and alive up to date, another 2 cases died of metastasis without surgical treatment. Conclusion The experience suggests the double stapling technique could allow low and ultra-low colorectal anastomosis in the patients with rectal cancer which would be impossible with traditional hand-sewing method.

关 键 词：直肠肿瘤 直肠结肠切除术 恢复性 吻合器 双 

分 类 号：R735.37[医药卫生—肿瘤]