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低位直肠癌吻合口漏的预防措施 被引量：1

Measures of preventing anastomotic leakage after total rectal res ection and complete mesorectum excision in low rectal carcinoma
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摘要 [背景 ]探讨防止低位直肠癌直肠全系膜切除保留肛门术的骶前吻合口漏发生的措施 .[病例报告 ]给 4 9例低位直肠癌患者行骶前吻合术时应用了会阴部向盆腔内推顶、吻合完毕后向肛门内注气的技术 ,术后均未出现便失禁 ,3例出现盆腔内局部复发 ,2例出现吻合口漏 (4% ) .[讨论 ]在低位直肠癌直肠全系膜切除保留肛门术中应用会阴部推顶。 BACKGROUND?To study the measure of reduci ng the anastomotic leakage after total rectal resection and complete mesorectu m ex cision in low rectal carcinoma.?CASE REPORTS?Out of 49 cases o f low rectal carcinoma that was operated by the skill of pushing the perineum du ring anastomosis,injecting gas into the anal after anastomosis, no one case was happened the bowel movement incontinence, 3 cases recured the local regional recurrence, and 2 cases (4%) had the anastomotic leakage in the pelvic.? DI SCUS SION?The skill of pushing the perineum and injecting gas into the anal is good method for protecting anastomotic leakage with total retal resection and complete mesorectum excision in low rectal carcinoma.
作者 金星林 许东哲
机构地区 延边大学医学院附属医院肿瘤科
出处 《延边大学医学学报》 CAS 2004年第4期303-304,共2页 Journal of Medical Science Yanbian University
关键词 直肠胂癌 直肠瘘 肛门 rectal neoplasms rectal fistula anus
分类号 R657.1 [医药卫生—外科学]
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参考文献8

  • 1Luna-Perez P, Rodriguez-Ramirez SE, Gutierrez de la Barrera M, et al.. Multivariate analysis of risk factors associated with dehiscence of colorectal anastomosis after anterior or lower anterior resection for sigmoid or rectal cancer[ J ]. Rev Invest Clin
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  • 4Sutton CD, Marshall LJ, Williams N, et al..Colo-rectal anastomotic leakage often masquerades as a cardiac complication[ J ]. Colorectal Dis, 2004,6 ( 1 ): 21.
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同被引文献8

  • 1刘荫华.低位直肠癌吻合口漏和直肠阴道瘘的预防与处理[J].中国实用外科杂志,2007,27(6):448-450. 被引量：54
  • 2夏穗生.论低位结肠梗阻与急诊一期切除吻合术[J].实用外科杂志,1988,8:1-2.
  • 3Albeas JC,Parvaiz A,Moran BJ,et al.Predicting risk and diminishing the consequences of anastomotic dehiscencefollowing rectal resection[J] Colorectal Dis,2003,5 (5):478 - 482.
  • 4Komen N,Morsink MC,Beiboer S,et al.Detection of colon flora in peritoneal drain fluid after colorectal surgery:canRT-PCR play a role in diagnosing anastomotic leakage?[J].J Microbiol Methods,2009,79(1):67 -70.
  • 5Ellebaek Pedersen M,Qvist N,Bisgaard C,et al.Peritoneal microdialysis.Early diagnosis of anastomotic leakage after low anterior resection for rectosigmoid cancer[J].Scand J Surg,2009,98 (3):148 - 154.
  • 6Karliczek A,Benaron DA,Baas PC,et al.Intraoperative assessment of microperfusion with visible light spectroscopy in esophageal and colorectal anastomoses[J].Eur Surg Res,2008,4 1 (3):303 - 311.
  • 7蔡三军.结直肠肛管癌[M].北京:北京大学医学出版社,2005:247-248.
  • 8卞守华,欧阳卫东.低位直肠癌全直肠系膜切除术吻合口瘘原因及其防治[J].内蒙古医学杂志,2009,41(1):40-42. 被引量：4

引证文献1

延边大学医学学报
2004年 第4期

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