中低位直肠癌双吻合器保肛手术分析  

The Double Stapling Technique for Sphincter Preservation Operation in mediate-low Rectal Carcinoma

作　　者：明亮[1] 陈兆永[1] 丁贤[1] 董淑敏[1] 

机构地区：[1]江苏省连云港市第一人民医院东方医院普外科,222042

出　　处：《医学研究杂志》2008年第11期128-130,共3页Journal of Medical Research

摘　　要：目的探讨低位直肠癌用双吻合器技术行保肛手术的适应证、手术操作要点、常见并发症及预防。方法回顾性分析我院2002年1月～2007年11月用双吻合器技术行低位直肠癌保肛手术30例资料。肿瘤下缘距肛缘4～8cm,平均6.5cm。Dukes分期:A期22例,B期6例,C期2例。结果30例无手术死亡,全组平均随访46个月。2例发生吻合口狭窄(6.6%)。局部复发2例(6.6%),97.7%(1/30)成功地保留了肛门和大便控制功能,无发生排尿功能障碍者。结论双吻合器技术的应用可以较好地解决根治与保留功能间的关系,最大限度地保留排便、排尿功能,具有成功率高,并发症少的优点,值得临床推广。Objective To evaluate the effect of double stapling technique for sphincter preservation operation in mediate - low rectal carcinoma. Methods The resection through double stapling technique for sphincter preservation approach was performed on 30 patients with mediate - low rectal carcinoma from January 2004 to November 2007. The distance between the anal verge and the lower margin of the tumor was 4 -8cm（averaged 6.5 cm） ,including 22 patients in Dukes A stage,6 Dukes B and 2 Dukes C. Results Fecal eontinenees were preserved successfully in all patients. 2 cases had got anastomotic narrowing（6.6% ） after operation. At a median follow - up of 46 months,two patients had loeal recurrences（6.6% ）. There was no urinary dysfunction in this series. Conclusion Double stapling technique for sphinceter preservation operation was feasible and safe,provide a original operative style for mediate - low rectal carcinoma.

关 键 词：直肠肿瘤 外科吻合器 保肛手术 外科学 

分 类 号：R735.370.5[医药卫生—肿瘤] R608[医药卫生—临床医学]