摘要
目的探讨双吻合器在中低位直肠癌保肛术中应用的疗效。方法对合肥市第二人民医院2003年1月-2008年12月在中低位直肠癌根治术中应用双吻合器行结肠直肠吻合术23例的临床资料进行回顾性分析。结果23例吻合效果均佳,随访20例(87%),随访时间3～74月,取得满意疗效;术后1例发生吻合口瘘,无出血与盆腔感染;1例发生远处肝转移,无局部复发,1年后因晚期转移死亡,其余未发现局部复发、转移等。结论双吻合器在中低位直肠癌的保肛手术效果确切,成功率高,改善患者生存质量。
Objective To evaluate the curative effect of applying double stapling device in anus-preserving operation for middle and lower rectal cancer. Methods The clinical data of 23 cases of middle and lower rectal cancer undergoing colorectostomy by using double stapling device from Jan. 2003 To Dec. 2008 were analyzed retrospectively. Results In 23 cases, colorectostomy was with satisfactory outcomes. The follow-up of 3 to 74 months in 20 cases （87%） showed good curative effect. After operation,one was with anastomotic leakage, no ease with anastomotic bleeding and infection, one case had liver metastasis, bur no local recur- rence, and died one year later. Conclusion The doubling stapling technique provide a safe alternative for the middle rectal cancer with high success ratio of Anus-preserving, and can improve the QOL of patients.
出处
《中华全科医学》
2009年第7期714-715,共2页
Chinese Journal of General Practice
关键词
中低位直肠肿瘤
双吻合器
全直肠系膜切除
保肛手术
Middle and lower rectal tumor
Double stapling technique
Total mesorectal excision
Anus-preserving operation
