双吻合器技术在低位直肠癌保肛术的应用  

The Application of Double Stappler Technique for Anus-preserved in low Rectal Cancer

作　　者：吴雄辉 张卓军 

机构地区：[1]广东省湛江市中心人民医院普通外科,广东湛江519000

出　　处：《河北医学》2007年第8期935-937,共3页Hebei Medicine

摘　　要：目的：探讨低位直肠癌保肛术的可行性及双吻合器技术的优越性.方法：采用双吻合器技术行低位直肠癌直肠前切除术Dexom 62例,癌下缘距肛缘5～6cm 40例,7～8cm 22例.结果：全组无手术死亡,无吻合口瘘、吻合口狭窄、吻合口出血,术后随访6个月至3年,手术后18个月局部复发2例（3.2%）现仍无癌生存60例,本组41例术后排便功能不全（66.1%）1年内能逐渐恢复.结论：在合理选择手术适应症前提下,双吻合器技术在低位直肠癌保肛术是一种安全有效方法.Objective：To discuss the feasibility of anal preserving for low rectal cancer and the superiority of double stapling technique. Method： Sixty - two cases of low rectal cancer were treated by double stapling technique. In these cases, the distance from tumor to anus was 5 - 6cm in 40 patients, 7 - 8cm in 22 patients. Result： No death, anastomotic fistula, anastomotic stenosis or anastomotic hemorrhage occurred. The 62 patients were followed up surveyed for 6 months to 3 years. Local recurrence has occurred in two patients since the operation after 18 years. 60 patients gradually recovered within one year after the operation. Conclusion： According to reasonable operation indication, It is a safe and effective method to use double stapler technique for anus -preserved in low rectal cancer.

关 键 词：低位直肠癌 保肛术 吻合器 

分 类 号：R735.37[医药卫生—肿瘤]