结肠肛管吻合技术研究进展  

Research progress on coloanal anastomosis techniques

作　　者：池畔[1] 黄胜辉[1] Chi Pan;Huang Shenghui(Department of General Surgery(Colorectal Surgery),Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院普通外科(结直肠外科),福州350001

出　　处：《中华消化外科杂志》2024年第6期782-788,共7页Chinese Journal of Digestive Surgery

基　　金：福建省微创医学中心建设项目(闽卫医政函[2017]171号);福建省科技创新联合资金(2019Y9101、2023Y9218)。

摘　　要：结肠肛管吻合是直肠切除后将结肠连接至肛管的外科手术,可分为一期直接吻合和二期(延期)结肠肛管吻合.笔者查阅相关文献,结合团队实践,对直接和延期结肠肛管吻合的适应证、技术要领、并发症和功能学方面的研究进展进行探讨.在实施结肠肛管吻合时,外科医师应根据患者病情和术者实际技术情况作出合理选择.对于低位直肠癌保肛手术,实现肿瘤学安全、解剖学恢复、功能学康复3个方面的重建成功,才是真正意义上的吻合成功.Coloanal anastomosis is a surgical procedure in which the colon is connected to the anus after rectal resection,and it can be divided into one-stage immediate anastomosis and two-stage(delayed)coloanal anastomosis.Based on relevant literature and team practices,the authors explore the indications,technical essentials,complications,and functional aspects of both immediate and delayed coloanal anastomosis.When performing coloanal anastomosis,it should make rational choices based on the patient's indications,condition,and actual technical situation of the surgeon.In sphincter-preserving surgery for low rectal cancer,the success of coloanal anastomosis depends on achieving effective reconstruction that ensures oncological safety,anatomical integrity,and func-tional recovery.

关 键 词：直肠肿瘤 经括约肌间切除术 结肠肛管吻合 拖出式吻合 吻合口漏 

分 类 号：R735.37[医药卫生—肿瘤]