弯管型吻合器在低位直肠癌保肛手术中的临床应用

目的　探讨弯管型吻合器在低位直肠癌保肛手术中的应用价值。　方法　总结了 2 0 0 1年 1月至 2 0 0 2年 6月间用弯管型吻合器对 4 2例低位直肠癌病人保肛吻合手术的应用体会。　结果　术后无一例发生吻合口出血、狭窄和吻合口瘘等并发症 ;且端侧吻合的直肠近端肠管具有一定的粪便储存功能 ,有效地预防了直肠癌术后的稀便问题。对于拒绝接受 miles手术的直肠癌病人 ,亦可使用弯管型吻合器做低位直肠癌手术 ,取得了预期的治疗效果。　结论　国产弯管型吻合器的长度及弯度均较适宜 ,手术对于低位直肠的吻合经腹用吻合器做端侧吻合 ,灵活性明显优于直型吻合器 ,操作起来十分方便 ,性能安全可靠 ,手术时间明显缩短

Clinical application of Curve-type Stapler in lower rectal cancer reserving anus

Objective To evaluate the effect of Curve type Stapler applied in lower rectal cancer reserving anus. Method The experiences were summarized and analyzed in 42 patients underwent reserving anus from January 2000 to June 2002. 42 patients were performed end to side anastomosis for lower rectum cancer through abdomen. Result There were no complications including hemorrhage, stenosis and postoperative fistula in 42cases lower rectum cancer end to side anastomosis. Conclutions The ways of anastomosis is a effective, reliable, convenient mehtod and take a short time.