结肠J型贮袋在低位直肠癌吻合术32例中的应用

目的探讨结肠J型贮袋在低位直肠癌手术中的应用。方法对我科2001年~2004年实施的直肠癌结肠J型贮袋肛管(直肠)吻合术32例的临床资料进行回顾性分析。结果全组无术中意外损伤及大出血病例。无死亡病例。发生吻合口狭窄1例。无吻合口漏及便秘。病人术后1年内排便状况满意。结论低位直肠癌行结肠J型贮袋肛管(直肠)吻合术具有操作方便、易于观察、容易推广等特点,有明显改善排便功能的作用,可显著提高病人术后的生活质量。

J-pouch coloanal anastomosis after low anterior resection for the low rectal carcinoma in 32 cases

Objective To evaluate J-pouch coloanal anastomosis after low anterior resection for the low rectal carcinoma.Methods After TME in 32 cases of lower rectal carcinoma,a 6cm colonic J-purch was made followed by colo-rectal(anal) anastomoses,while the rectal remnant no more than 5cm.Results There was no perioperative mortality.All these patients were operated successfully without massive haemorrhage and unexpected trauma.Anastomotic stenosis developed in 1 case.No anastomotic leakage and constipation developed in all these cases.During a follow-up of one year,defecation function was satisfactory.Conclusion J-pouch coloanal anastomosis after low anterior resection for the low rectal carcinoma is safe and convenient for lower rectal cancer.It significantly improves the defecation function after operation