应用弧型切割吻合器的双吻合器技术治疗直肠癌52例

目的 评价应用弧型切割吻合器的双吻合器技术在结直肠吻合术、尤其是低位结直肠吻合术中的应用.方法 回顾分析2005年10月至2006年9月间应用双吻合器行结直肠吻合术治疗直肠癌52例的临床资料.结果 本组52例术中直肠闭合和吻合进程顺利,术后发生吻合口瘘1例(1.9%),吻合口出血2例(3.8%),直肠阴道瘘1例(1.9%),无吻合口狭窄,无手术死亡.结论 双吻合器技术能完成以往手法缝合不易完成的低位结直肠吻合术.

Application of double stapling technique in 52 cases with rectal cancer using curved cutter stapler

Objective To evaluate the application of double stapling technique using curved cutter stapler in colorectal anastomosis,especially to the low colorectal anastomosis.Methods The data of 52 caseS of rectal carcinoma from October 2005 to September 2006 undergone rectal anastomosis by double stapling technique using curred cutter stapler. Results The processes of closure and anastomosis in the 52 cases using double stapling device were satisfactory.One case had anastomotic leakage(1.9％)，2 cases had anastomotic bleeding(3.8％)，and 1 case had rectovaginal fistula(1.9％).No anastomotic narrow and operative death were noted.Conclusion Double stapling technique with curred cutter stapler may help surgeons to accomplish low colorectal anastomosis which is difficult to perform by handed-suture before.