摘要
目的探讨直肠癌超低位前切术中采用器械吻合的适应证及术后效果。方法对1996年10月至2006年10月四川省肿瘤医院实施直肠癌超低位前切除并器械吻合术的342例病人进行分析。根据DukesA、B、C分期,肿瘤下切缘的距离分别为2cm(134例),3cm(136例),4cm(72例)。结果342例顺利完成手术,发生术后吻合口瘘11例(3.2%),吻合口不同程度狭窄73例(21.3%)。术后每日排便次数,住院期间平均(4.3±5.2)次,2个月后平均(2.5±3.1)次,3个月后趋于正常。局部复发率为11.8%(40/342),5年存活率为68.8%(235/342)。结论在保证癌的根治及不增加并发症的前提下,直肠癌超低位前切除的器械吻合术可以保存肛门括约肌的功能。
Objective To investigate the technique,indication and efficiency of stapled anastomoses in the ultralow anterior dissection of rectal cancer. Methods The clinical data of 342 cases of rectal cancer performed ultralow anterior dissection were reviewed. The average distance from anal verge to tumor margin was 2 cm in 134 cases of Dukes A stage,3 cm in 136 cases of Dukes B stage,and 4 cm in 72cases of Dukes C stage,respectively. Results Among 342 cases,anastomotic leakage happened in 11 cases （3.2%）. Anastomotic stenosis took place in 73 cases （21.3 % ）. The average defecation was （4. 3 ± 5. 2） times per day during hospital stay, and it relieved in 2 months （2. 5 ± 3.1 ） times per day） , and normalized in 3 months after surgery. The local recurrence rate was 11.8% （40/342） in 5 years. The 5-year survival rate was 68. 8% （235/342）. Condusion For ensuring the oncological excision and efficiency of anastomosis, the application of stapled anastomoses in the ultralow anterior dissection of rectal cancer can preserve the anal sphincter function.
出处
《中国实用外科杂志》
CSCD
北大核心
2007年第7期543-545,共3页
Chinese Journal of Practical Surgery
关键词
直肠癌
超低位前切除术
吻合器械
rectal cancer
utralow anterior dissection
stapled anastomoses
