双吻合器在低位直肠癌保肛手术中的临床应用分析

目的探讨低位直肠癌使用双吻合器在保肛手术中应用的价值。方法回顾总结分析2008年1月～2011年6月收治的85例距肛缘4～6cm的低位直肠癌患者保肛术临床资料,按TME原则,用双吻合器行低位直肠癌切除结直肠或结肠肛管吻合保肛手术。结果全组无手术死亡,术后吻合口漏1例,吻合口狭窄1例,暂时性大便不完全失禁5例,无吻合口复发、排尿困难及性功能障碍。结论在低位直肠癌保肛手术中使用双吻合器是安全有效的,可缩短手术时间,减少术中出血,保肛成功率高,显著提高患者的生活质量。

Double stapling technique in the management of low rectal carcinoma

Objective To evaluate the value of double stapling technique(DST) in the treatment of low rectal anastomosis with the anus-preserving procedure.Methods In accordance with the principle of total mesorectal excision,from January 2008 to June 2011,we treated 85 patients with low rectal cancer by using the DST with the anus-preserving procedure.Results All of the 85 patients were treated successfully with a anus-preserving procedure rate of 100%.One of the patients developed anastomotic fistula after the operation.One of the patients developed anastomotic stenosis and 5 patients developed temporalitily incompletion incontinentia.There were no complications of local recurrence,dysuresia and sexual function disorder.Conclusion DST for low rectal cancer could perform anus-preserving procedure in a very low position and was minimally invasive for the treatment of low rectal with high rate of anus-preserving procedure rate.It shortened the operation time,reduced the bleeding and could improve the life quality of the patients.