直肠癌根治术中双吻合器的应用分析

:[目的]介绍和评价双吻合器在直肠癌低位前切除术中的应用。[方法]对90例直肠癌根治术中行双吻合器吻合的病例进行回顾性分析。[结果]行传统根治术75例 ,扩大根治术7例 ,直肠全系膜切除术(TME)者8例 ,吻合过程顺利。术后切口感染3例(3.33 %) ,吻合口狭窄5例(5.56 %) ,吻合口瘘3例(3.33%)。无手术死亡病例。术后吻合口复发2例 ,腹腔淋巴结转移3例 ,随访期间肝转移5例。全部病例中83例获得随访 ,5年生存率58.6%。[结论]双吻合器应用于直肠癌前切除术中的结直肠吻合具有操作简单 ,节约手术时间和安全等优点 ,并可适当提高低位直肠癌保肛率。

The Practice of Double Stapling Technique in Radical Resection of Rectal Carcinoma

To introduce and evaluate the role of double stapling technique in low anterior resection of rectal cancer.Re_trospective analysis was made on 90 cases of rectal carcinoma with double stapling technique for anastomosis.All cases including 75 cases of traditional radical resection,7 cases of extend radical resection,and 8 cases of total mesorectal excision (TME) were successful and excellent.Complication included anastomotic stenosis in 5 patients (5.56%),anastomotic fistula in 3 patients (3.33%) and wound infection in 3 patients (3.33%).Two patients presented with local recurrence,and 3 cases presented with abdominal cavity nodes metastasis.Liver metastasis was found in 5 cases in the follow-up peroid.Of 90 cases,83 cases had been followed up.The 5-year survival rate was 58.6%.[Conclusion]The double stapling technique is safe,and easily performed for colorectal anastomosis in deep pelvis,and it can enhance the rate of anal-saving operation in low rectal carcinoma.