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低位直肠癌术后吻合口瘘的预防与治疗 被引量:3

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摘要 目的总结低位直肠癌术后吻合口瘘预防与治疗的方法。方法对118例低位直肠癌患者行手术切除,13例发生吻合口瘘,总结吻合口瘘发生原因及预防措施。结果本组术后吻合口瘘发生率11.0%,其中12例经保守治疗后痊愈,1例二次手术后痊愈,平均愈合时间12.1 d。结论降低吻合口张力、保证吻合口血供、吻合技巧、通畅引流是降低吻合口漏的关键。
作者 高艳龙 庞鹏
出处 《当代医学》 2013年第29期96-97,共2页 Contemporary Medicine
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  • 1徐惠绵.低位直肠癌保肛手术并发症的防治与对策[J].中国实用外科杂志,2005,25(3):141-143. 被引量:124
  • 2王树钦,蔡振海,蔡淡龙.直肠癌单吻合器低位前切除术122例分析[J].中国基层医药,2005,12(5):557-558. 被引量:1
  • 3Wang JY,Hsieh JS,Chen FM,et al.Rectal perforation secondary to surgical drains after low anterior resection:a report of two cases and review of the literature[J].Kaohsiung J Med Sci,2002,18(3):146-148.
  • 4Merad F,Hay JM,Fingerhut A,el al.Is prophylactic pelvic drainage useful after elective rectal or anal anastomosis?A multicenter controlled randomized trial[J].Surgery,1999,125(5):529-535.
  • 5Sato K,Sato T.The vascular and neuronal composition of the lateral ligament of the rectum and the rectalsacral fascia[J].Surg Radiol Anat,1991,13(1):17-22.
  • 6Macfarlane JK,Ryall RDH,Heald RJ.Mesorectal excision for rectal cancer[J].The Lancet,1993,341(8 843):457-460.
  • 7Peeters KC,Tollenaar RA,Marijnen CA,et al.Risk factors for anastomotic failure after total mesorectal excision of rectal cancer[J].Br J Surg,2004,92(2):211-216.
  • 8Eckmann C,Kujath P,Shekarriz H,et al.Anastomotic leakage following low anterior resection:results of a standardized diagnostic and therapeutic approach[J].Int J Colorectal Dis,2004,19(2):128 -133.
  • 9Karanjia N,Corder A,Bearn P,et al.Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of rectum[J].Br J Surg,1994,81 (8):1224.
  • 10Peeters KC,Tollenaar RA,Marijnen CA,et al.Risk factors for anastomotic failure after total mesorectal excision of rectal cancer[J].Br J Surg,2005,92(2):211 -216.

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  • 1陈孝平,汪建平.外科学[M].8版.北京:人民卫生出版社,2013:408-409.
  • 2Jorgren F,Johansson R,Damber L,et al. Anastomotic leakage af- ter surgery for rectal cancer., a risk factor for local recurrence, distant metastasis and reduced cancer-specific survival[J]. Color- ectal Dis,2011,13(3) : 272-283.
  • 3Snijders HS,van den Brock CB, Wouters MW, et al. An increas- ing use of defunctioning stomas after low anterior resection for rectal cancer. Is this the way to go? [J]. Eur J Surg Oncol, 2013,39(7) :715-720.
  • 4Hong D, Lewis M, Tabet J, et al. Prospecti'~e comparison of lap- aroseopic versus open resection for benign colorectal disease[J]. Surg Laparosc Endosc Percutan Tech,2012,12(4) :238-242.
  • 5Breukink SO, Pierie JP, Grond AJ, et al. Laparoscopic versus open total mesorectal excision: a case-control study[J]. J Coloreet Dis, 2011,20(5) :428-433.
  • 6Beirens K, Penninckx F, PROCARE. Defunctioning stoma and anas- tomotic leak rate after total mesorectal excision with coloanal anasto- mosis in the context of PROCARE[J]. Acta Chir Belg, 2012, 112 (1):10-14.
  • 7Lindgren R, Hallbook O, Rutegard J, et al. Does a defunctioning stoma affect anorectal function after low rectal resection? [J].Dis Colon Rectum, 2011,54 (6) : 747-752.
  • 8Seo SI,Yu CS,Kim GS,et al. The role of diverting stoma after an ultra-low anterior resection for rectal cancer[J]. Ann Coloproc- tol,2013,29(2) :66-71.
  • 9张剑平.直肠癌根治术经腹膜外结肠造口的治疗体会[J].蚌埠医学院学报,2009,34(5):426-427. 被引量:7
  • 10周灿,陈武科,何建军,任予,王珂,牛利刚,周瑜辉.国内直肠癌术后吻合口瘘危险因素的Meta分析[J].西安交通大学学报(医学版),2010,31(1):115-121. 被引量:75

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