低位直肠癌保肛手术中弧形切割缝合器的应用  

The experience of curved cutter stapler in sphincter-preserving operation for low rectal cancer

作　　者：居来提.阿布都克力木 李春雷 关军民 依马木.赛买提 

机构地区：[1]新疆博尔塔拉蒙古自治州人民医院外一科,新疆博乐838400

出　　处：《新疆医科大学学报》2008年第11期1571-1572,共2页Journal of Xinjiang Medical University

摘　　要：目的:探讨应用弧形切割缝合器在治疗低位直肠癌(距肛缘3～7 cm)中的保肛效应。方法:14例低位直肠癌患者,遵循全直肠系膜切除治疗原则,应用弧形切割缝合器行保肛手术。随访6个月,观察其根治性、术后排便功能、手术并发症及局部复发率情况。结果:本组无手术死亡,术后病理学检查无切端癌残留,无大便失禁,无吻合口漏发生,吻合口狭窄1例,发生率为7.1%(1/14),局部无复发,患者术后肛门功能恢复较满意。结论:保肛手术可获得较好的手术根治与保肛门功能的效应。在狭窄骨盆中应用弧形切割缝合器保肛治疗安全、有效。Objective： To evaluate the effect of total mesorectal excision with curved cutter stapler for patients with low rectal cancer （LRC） （3-7 cm from anal averge） in the narrow pelvis. Methods： Based on total mesorectal excision, curved cutter stapler was used in 14 cases with LRC. The 6 months follow-up result was retrospectively analyzed on radical resection effect, defecating function, complication rate and recurrent rate. Results： All the resection margins were clear and had no intraoperative death, anastomotic leakage or occurrence of incontinence. Anastomotic stricture rate was 7.1%（1/14） and local recurrent rate was zero. The function of patient＇s sphincter anal was gradually recovered, and the function basically came back after half a year. Conclusion： Curability and anal function was obtained by sphincter preserving operation. Curved cutter stapler is ideal and safe for low positioned rectal cancers in the narrow pelvis.

关 键 词：直肠肿瘤 外缝合器 保肛手术 

分 类 号：R735.37[医药卫生—肿瘤]