摘要
我院利用一种自制的吻合支撑管，为200例低位直肠癌病人成功地进行了经肛门环礼式结肠胆管吻合术。在遵循直肠癌根治的原则下，保留了完整的胆管直肠环、肚管、肛门，解决了保肛与根治矛盾，术后八个月内排便功能优良率达98％，为低位直肠癌的治疗开创了一条新的道路。本本式操作简单易行．安全可靠．损伤小出血少，缩短手术操作时间，不需吻合器，也不要手工吻合，吻合口不留缝线异物．吻合口愈合牢固，吻合口瘘率低．术后康复快，疗效确切。
Using self-made supporting tube, we pertormed colon-anal anastomoses in 200 cases radical resections of low rectal carcinoma to save the anal canal and sphincter. The anastornoses were completed without suturing and the results were satisfactory.Postoperative follow-up revealed that the bowel movement and sphincteric function were all satisfactory. The occurring rate of anastomotic leak was about 4% and there was not operative death. This new technique is simple, safe and easy to perform, and is considered to be a promising procedure for colonanal anastomosis after resection of low rectal cancer.
关键词
直肠癌
肛管
肛门
吻合支撑管
外科手术
治疗
Rectalcarcinoma Anas Anal tube Supporting tube Colon-anal anastomosis by circular ligation
