PST技术在预防直肠癌术后吻合口漏中的应用  

Application of PST technique in preventing anastomotic leakage after rectal cancer surgery

作　　者：潘建江 张岩 钱珊珊 池诏丞[1] PAN Jianjiang;ZHANG Yan;QIAN Shanshan;CHI Zhaocheng(Department of Gastrointestinal and Abdominal Tumor Surgery,Jilin Cancer Hospital,Changchun 130012,P.R.China)

机构地区：[1]吉林省肿瘤医院结直肠胃腹部肿瘤外二科,长春130012

出　　处：《中国普外基础与临床杂志》2024年第11期1406-1410,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：国家癌症中心攀登基金课题(项目编号:NCC201907B03)。

摘　　要：目的 了解PST技术在预防直肠癌术后吻合口漏中的应用价值和研究进展。方法 检索近年来国内外关于保留左结肠动脉(protecting of left colonic artery)、缝合加固吻合口及关闭盆底腹膜(suture of anastomotic stoma and closure of pelvic floor peritoneum)以及留置肛管(transanal tube)—简称PST技术在直肠癌手术中应用的相关文献并进行综述。结果 PST技术从多个角度可预防直肠癌术后吻合口漏的发生,减少感染和炎症,促进术后康复,改善患者的生活质量,且简单易行;PST技术具有的巨大优势逐渐在临床上得以验证并认可。结论 PST技术安全、可行,是预防直肠癌术后吻合口漏和减轻吻合口漏症状的有效方法。Objective To investigate the application value and research progress of PST technique in preventing anastomotic leakage after rectal cancer surgery.Method The related literatures at home and abroad in recent years about the application of left colon artery preservation,suture of anastomotic stoma and closure of pelvic floor peritoneum,and indwelling anal canal(PST technology for short)in rectal cancer surgery were searched and summarized.Results PST technology could prevent anastomotic leakage after rectal cancer surgery from many angles,reduce infection and inflammation,promote postoperative rehabilitation and improve the quality of life of patients,and it is simple and easy to do.The great advantages of PST technology are gradually verified and recognized in clinic.Conclusion PST is a safe and feasible method to prevent anastomotic leakage and relieve the symptoms of anastomotic leakage.

关 键 词：直肠癌 吻合口漏 保留左结肠动脉 缝合加固吻合口及关闭盆底腹膜 留置肛管 

分 类 号：R735.37[医药卫生—肿瘤]