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全直肠系膜切除联合国产双吻合器在低位直肠癌手术中的应用
引用本文:朱杰,周晓云,陈涛,王杰. 全直肠系膜切除联合国产双吻合器在低位直肠癌手术中的应用[J]. 江苏大学学报(医学版), 2007, 17(3): 258-260
作者姓名:朱杰  周晓云  陈涛  王杰
作者单位:南京医科大学附属常州市第二人民医院胃肠外科,江苏,常州,213003;南京医科大学附属常州市第二人民医院胃肠外科,江苏,常州,213003;南京医科大学附属常州市第二人民医院胃肠外科,江苏,常州,213003;南京医科大学附属常州市第二人民医院胃肠外科,江苏,常州,213003
摘    要:目的:评价全直肠系膜切除(total mesorectal excision,TME)联合国产双吻合器在低位直肠癌中的手术效果.方法:回顾性分析142例采用TME、双吻合器行低位直肠癌前切除术患者临床资料.结果:术后发生吻合口漏4例(2.8%),吻合口狭窄5例(3.5%) .术后随访1~5年,局部复发9例(6.3%).结论:低位直肠癌TME能降低局部复发,而双吻合器的应用能提高低位直肠癌的保肛率.

关 键 词:全直肠系膜切除术  双吻合器  低位直肠癌  保肛手术
文章编号:1671-7783(2007)03-0258-03
收稿时间:2007-03-09
修稿时间:2007-03-09

The clinical application of total mesorectal excision with internal double stapling technique in lower rectal carcinoma
ZHU Jie,ZHOU Xiao-yun,CHEN Tao,WANG Jie. The clinical application of total mesorectal excision with internal double stapling technique in lower rectal carcinoma[J]. Journal of Jiangsu University Medicine Edition, 2007, 17(3): 258-260
Authors:ZHU Jie  ZHOU Xiao-yun  CHEN Tao  WANG Jie
Abstract:Objective: To evaluated the values of both the total mesorectal excision(TME) and the double stapling technique(DST) in low rectal carcinoma.Methods: TME with DST was used in 142 patients with low rectal carcinoma,and the results were retrospectively analyzed. Results: The anastomotic leakage occurred in 4 patients,and anastomotic stricture occurred in 5 cases in this group.All patients were followed-up for 1 to 5 years,local recurrence occurred in 9 cases. Conclusion: TME can decrease the rates of local recurrence in low rectal carcinoma,and the double stapling techniquecan increased the probability of anus reservation.
Keywords:total mesorectal excision    double stapling technique    low rectal carcinoma    anus-preserving operation
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