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弧形切割吻合器和直线型闭合器在低位直肠癌前切除术中应用的比较研究 被引量:3

A Comparsion of Curved Cutter Stapler and Straight Cutter Stapler for Anterior Resection in Low Rectal Carcinoma
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摘要 [目的]评价弧形切割吻合器和直线型闭合器在低位直肠癌前切除术中的应用。[方法]2005年8月至2007年8月收治的低位直肠癌病人,行直肠癌双吻合器法前切除术,按纳入与剔除标准入选60例分为弧形切割吻合器组和直线型闭合器组,每组30例。[结果]弧形切割吻合器组的手术时间(160.7±13.4min)短于直线型闭合器组(222.3±16.8min),吻合口距齿状线的距离(1.9±0.8cm)小于直线型闭合器组(2.5±0.5cm),术中出血量(190±67.5ml)少于直线型闭合器组(353±91.9ml),住院时间(16.7±2.4d)短于直线型闭合器组(21.7±1.9d),差异有统计学意义(P<0.05);术后吻合口出血、吻合口狭窄及吻合口瘘的发生率与直线型闭合器组相比无统计学意义(P>0.05)。[结论]在低位直肠癌前切除术中应用弧形切割吻合器与直线型闭合器相比可以缩短手术时间,达到更低位的保肛,使用安全可靠,值得进一步推广。
机构地区 中日友好医院
出处 《肿瘤学杂志》 CAS 2009年第1期41-43,共3页 Journal of Chinese Oncology
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同被引文献19

  • 1杨华伟,张传珉,刘剑仑,陈建思.改良Park术式在中低位直肠癌保肛手术的应用[J].广西医科大学学报,2007,24(3):409-410. 被引量:2
  • 2Paolo Farace. Giamaica Conti,Potential role of combined FDG PET/CT & contrast enhancement MRI in a rectal carcinoma model with nodal metastases characterized by a poor FDG-avidity[J].European Journal of Radiology,2011,(02):6624-6625.
  • 3Shantikumar D. Chivate and Vinay A,New Rectal Construction After Abdominoperineal Resection for Carcinoma Rectum[J].INDIAN JOURNAL OF SURGERY,2010,(33):4425-4426.
  • 4Katja Oberholzer. Matthias Menig,Rectal Cancer:Mucinous Carcinoma on Magnetic Resonance Imaging Indicates Poor Response to Neoadjuvant Chemoradiation[J].International Journal of Radiation Oncology,Biology,Physics,2011,(13):1362-1363.
  • 5Katsuhiro Nasu,Yoshifumi Kuroki,Manabu Minami. Diffusionweighted imaging findings of mucinous carcinoma arising in the ano-rectal region:comparison of apparent diffusion coefficient with that of tubular adenocarcinoma[J].Japanese Journal of Radiology,2009,(1l):1125-1126.
  • 6Pascal G.Doomebosch,Eliane Zeestraten. Transanal endoscopic microsurgery for T1 rectal cancer:size matters[J].Surgical Endoscopy,2012,(02):366-368.
  • 7Stewart.DP,Kitsanta P. Asymptomatic isolated coccygeal metastasis in low rectal carcinoma[J].Techniques in Coloproctology,2011,(03):3624-3628.
  • 8Suzana Stojanovic. Ivan Popov,Preoperative radiotherapy with capecitabine and mitomycin C in locally advanced rectal carcinoma[J].Cancer Chemotherapy and Pharmacology,2011,(33):2145-2146.
  • 9陈继贵,张宇星,刘敏,路直美,陈华荣,陈超,王倩,徐俊,杨睿,徐飞.双吻合器技术预防直肠癌前切除术吻合口狭窄的临床应用[J].中华胃肠外科杂志,2008,11(3):290-290. 被引量:1
  • 10胡俊川,潘华,王前清,杨谦,冯强.弧形切割吻合器在低位直肠癌保肛手术中的应用[J].中国普外基础与临床杂志,2009,16(10):796-799. 被引量:7

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