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目的探讨使用一次性单吻合器行中低位直肠癌前切除术的疗效。方法回顾性分析我科2002年5月~2005年10月采用单吻合器行中低位直肠癌前切除术76例的临床资料。结果76例中Duke’s:A期16例,B期51例,C期9例。出现术后并发症14例(18.4%),吻合口漏5例(6.50%),吻合口狭窄2例(2.60%),切口感染2例(2.60%),切口疝2例(2.60%),术后便血3例,39例术后有不同程度的排便习惯改变。结论应用一次性单吻合器技术进行中低位直肠癌前切除手术安全实用,中低位直肠癌保肛成功率高,对预后无不良影响。
Objective To explore the use of one-time single stapler in the treatment of low rectal cancer surgery. Methods A retrospective analysis of our department from May 2002 to October 2005 with a single stapling line of low rectal cancer in 76 cases of clinical data. Results Among 76 cases, Duke’s: A had 16 cases, B had 51 cases and C had 9 cases. Postoperative complications occurred in 14 cases (18.4%), anastomotic leakage in 5 cases (6.50%), anastomotic stenosis in 2 cases (2.60%), incisional infection in 2 cases (2.60%), incisional hernia in 2 cases Postoperative blood in 3 cases, 39 cases of postoperative bowel habits have varying degrees of change. Conclusions The one-time single stapler technique is safe and practical for low and middle rectal cancer precancerous resection. The success rate of anal sphincter preservation in middle and low rectal cancer is high, which has no adverse effect on prognosis.