低位直肠癌保肛术65例治疗体会  

Clinical application analysis for 65 cases with anus-preserving operation for lower rectal cancer

作　　者：李英锋[1] 尹同治[1] 杨潇[1] 

机构地区：[1]湖北省潜江市中心医院普外科,湖北潜江433100

出　　处：《吉林医学》2013年第22期4439-4440,共2页Jilin Medical Journal

摘　　要：目的:探讨低位直肠癌保肛手术的经济、实用、安全的有效方法。方法:对65例低位直肠癌患者按全直肠系膜切除术(TME)要求切除直肠,荷包缝合钳封闭直肠残端,管型消化道吻合器行低位保肛术。结果:本组无死亡、吻合口狭窄和远切端癌残留病例,术后发生吻合口出血1例(1.5%),吻合口漏2例(3.1%),均经保守治疗痊愈出院。结论:应用TME、荷包缝合钳、管型消化道吻合器行低位直肠癌保肛术安全、简便、经济,并缩短手术时间。Objective To explore economic,practical,safe and effective method of low rectal cancer surgery.Method 65 patients with low rectal cancer underwent total mesorectal excision（TME）,purse-string suture clamp closed rectal stump,anal sphincter preserved by using curve-type stapler.Results No deaths or anastomotic stricture or residual cancer in this group;anastomotic bleeding in one case（1.5%）,anastomotic stoma leakage in two cases（3.1%）,they were cured after conservative treatment.Conclusion Application of TME,purse-string suture clamp,curve-type stapler was a economic,practical and safe method of low rectal cancer anus preservation surgery.

关 键 词：低位直肠癌 保肛术 荷包缝合钳 管型消化道吻合器 

分 类 号：R735.37[医药卫生—肿瘤]