经双吻合器直肠拖出式切除吻合行超低位直肠癌保肛术的疗效评价  

To evaluate the effects of pull-through transaction and anastomosis for ultra-low rectal cancer using double stapling technique

作　　者：陈丹[1] 胡丰良[1] 黄丹丹[1] 孙峰[1] 赵文韬[1] 

机构地区：[1]广州中医药大学第一附属医院肛肠科,510405

出　　处：《结直肠肛门外科》2013年第1期9-12,共4页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨经双吻合器直肠拖出式切除吻合行超低位直肠癌保肛术的临床疗效。方法对2006年3月至2011年10月我院肛肠科收治拟行手术的超低位直肠癌患者51例,采用经双吻合器行直肠拖出式切除吻合。结果 51例顺利完成经双吻合器直肠拖出式切除吻合,成功完成保肛术。术后5例患者出现并发症,其中2例出现吻合口漏,发生率3.9%,2例出现吻合口狭窄,发生率3.9%,经术后早期扩肛全部解除,切口感染1例,发生率2%,无围手术期死亡,46例获得回访,术后复发情况、3年和5年生存率与同期行经腹前切除吻合术(Dixon术)的54例比较,差异无统计学意义(P<0.05)。结论经双吻合器直肠拖出式切除吻合术在超低位直肠癌保肛术中应用安全可行,值得临床推广。Objective To solve the problem that the person with ultra-low rectal cancer can＇t reserve anal, and provide technical support for ultra-low rectal cancer. Methods From March 2006 to October 2011,51 cases with ultra-low rectal cancer carried out pull-through transaction and anastomosis operation. Results 51 cases were all successfully completed reserving anal operation. Five cases occured postoperative com- plications, of whom anastomotic leakage 2 cases, the rates were 3.9 % ; anastomotic stenosis 2 cases, the rates were 3.9% ; 1 case with infection of incisional wound, the rate was 2 %, no death during operative stage. Compared with Dixon operation ,there was no statistics defference in the suivival rates and compli- cations between the two groups（ P 〉0.05）. Conclusion The technique of pull-through transaction and an- astomosis for ultra-low rectal cancer using double stapling is safe and feasible.

关 键 词：超低位直肠癌 保肛术 双吻合 拖出式切除 

分 类 号：R735.37[医药卫生—肿瘤]