弧型切割缝合器双吻合器技术在低位结直肠吻合术中的应用  

Value of double stapling technique with curved cutter stapler in low colorectal anastomosis

作　　者：杨宝仁[1] 张纪伟[1] 杨明[1] 崔龙[1] 

机构地区：[1]上海交通大学医学院新华医院肛肠外科,上海200092

出　　处：《上海交通大学学报（医学版）》2008年第10期1298-1300,共3页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的评价弧型切割缝合器双吻合器技术在结直肠吻合术,尤其是低位结直肠吻合术中的应用价值。方法回顾性分析168例应用弧型切割缝合器双吻合器技术行结直肠吻合术的病历资料,分析其术中情况、术后并发症和随访情况。结果所有患者术中直肠闭合和吻合进程顺利,无手术死亡。术后发生吻合口瘘4例(2.4%),直肠阴道瘘2例(1.2%),吻合口出血3例(1.8%),均经治疗后痊愈;无吻合口狭窄。结论弧型切割缝合器双吻合器技术有助于完成以往手法缝合不易完成的低位结直肠吻合术。Objective To evaluate the value of double stapling technique with curved cutter stapler in colorectal anastomosis, especially in low colorectal anastomosis. Methods The clinical data of 168 cases of rectal carcinomas treated with double stapling technique with curved cutter stapler were retrospectively reviewed. The intraoperative condition, postoperative complications and findings during follow up were analysed. Results During the operations, the processes of closure and anastomosis of all the patients were satisfactory, and no operative death occurred. After the operations, 4 cases （2.4%） had anastomotic leakage, 3 cases （ 1.8% ） had anastomotic bleeding, and 2 cases （ 1.2% ） had rectovaginal fistula. All the complications were cured. There was no anastomotic stricture. Conclusion Double stapling technique with curved cutter stapler may help to accomplish low colorectal anastomosis which is a difficult task for handed suture.

关 键 词：直肠肿瘤 直肠前切除术 直肠结肠吻合术 双吻合器 

分 类 号：R735.37[医药卫生—肿瘤]