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双器械与全直肠系膜切除在低位直肠癌保肛手术中的应用
引用本文:王晓武,胥连生. 双器械与全直肠系膜切除在低位直肠癌保肛手术中的应用[J]. 青海医药杂志, 2009, 39(4): 4-5
作者姓名:王晓武  胥连生
作者单位:青海大学附属医院胃肠外科,810001;青海大学医学院,810001
摘    要:目的:探讨双器械与全直肠系膜切除(TME)在低位直肠癌保肛手术中的应用价值。方法:对16例直肠癌患者在TME完成后使用双器械行保肛手术。结果:1例术后吻合口瘘经短期引流治愈,2例切口感染,余无并发症发生,无手术死亡。术后随访(12—36)个月,复发1例,行Miles手术。结论:TME有助于降低直肠癌术后复发率,双器械是低位直肠癌保肛的关键,两者联合应用是低位直肠癌保肛手术的首选术式,该术式能提高患者生存质量。

关 键 词:双器械  全直肠系膜切除术  低位直肠癌  保肛手术

Total Mesorectal Excision for Sphincter-Saving Surgery in Low Rectal Cancer
Wang Xiaowu,Xu Liansheng. Total Mesorectal Excision for Sphincter-Saving Surgery in Low Rectal Cancer[J]. Qinghai Medical Journal, 2009, 39(4): 4-5
Authors:Wang Xiaowu  Xu Liansheng
Affiliation:Wang Xiaowu1,Xu Liansheng2 1 The Affiliated Hospital of Qinghai University(810001)2 Qinghai University Medical College(810001)
Abstract:Objective:To evaluate the effect of total mesorectal excision(TME)with dual equipment for sphincter-saving surgery on treatment of low rectal cancer.Methods:The sphincter-saving surgery was conducted with dual equipment after the total mesorectal excision operation finished in 16 patients with low rectal cancer.Results:1 case of anastomotic leak occurred and was cured by drainage in a short time,and incision infection 2 cases.No complications in remaining people were found;while no operation-related death.1...
Keywords:Dual equipment  Total mesorectal excision  Low rectal cancer  Sphincter-saving surgery  
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