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目的探讨弧形切割吻合器在低位直肠癌手术治疗中的应用价值及并发症的防治。方法回顾性分析2007年8月至2008年2月我院实施对37例低位直肠癌患者采用弧形切割吻合器完成保肛手术的临床资料。结果全组术中直肠闭合和吻合进程顺利,切缘均无癌残留,术后无局部复发,1例(2.7%)发生吻合口瘘,无吻合口出血、狭窄等情况发生。结论在直肠癌低位保肛手术中应用弧形切割吻合器是安全有效的,在应用过程中必须注意吻合口瘘的预防
Objective To investigate the value of arc-shaped cutting stapler in the surgical treatment of low rectal cancer and its prevention and treatment. Methods A retrospective analysis of clinical data of 37 cases of low rectal cancer patients using arc cutting stapler in our hospital from August 2007 to February 2008 was performed. Results All the patients underwent rectal closure and anastomosis smoothly during the operation. There was no residual tumor at the margin and no local recurrence. One case (2.7%) developed anastomotic fistula without anastomotic hemorrhage and stenosis. Conclusions It is safe and effective to use curved cutting stapler in low anorectal surgery for rectal cancer. It is necessary to pay attention to the prevention of anastomotic leakage during the application