论文部分内容阅读
目的:探讨全直肠系膜切除联合单吻合器在直肠癌保肛手术中的应用效果。方法:回顾性分析92例直肠癌应用单吻合器与荷包钳行保肛手术患者的临床资料。结果:低位吻合20例,超低位吻合72例。全组无手术死亡,无切缘癌残留。本组均随访1～5年,6个月内38例大便次数5～10次/d,其余均<5次/d;6个月后所有患者大便次数均<5次/d;无大便失禁。吻合口漏发生率3.3%(3/92),吻合口狭窄发生率5.4%(5/92),肿瘤局部复发率7.6%(7/92)。结论:在全直肠系膜切除基础上,应用单吻合器与荷包钳用于低位直肠癌可提高保肛率,且该方法较双器械吻合技术更经济、实用、安全。
Objective: To investigate the effect of total mesorectal excision combined with single stapler in anorectal surgery for rectal cancer. Methods: A retrospective analysis of 92 cases of rectal cancer with a single stapler and pouch anal sphincter preservation surgery in patients with clinical data. Results: Low anastomosis in 20 cases, ultra-low anastomosis in 72 cases. The whole group had no surgical death and no residual cancer. The patients were followed up for 1 to 5 years, 38 cases of stool frequency was 5 ~ 10 times / d within 6 months, the others were all less than 5 times / d. All patients had less than 5 stools after 6 months. . The incidence of anastomotic leakage was 3.3% (3/92), the incidence of anastomotic stenosis was 5.4% (5/92), and the local tumor recurrence rate was 7.6% (7/92). Conclusion: Based on total mesorectal excision, the use of a single stapler and pincers pliers for lower rectal cancer can improve the rate of anal sphincter preservation, and the method is more economical, practical and safe than double-instrument anastomosis.