结肠贮袋在低位直肠癌前切除术中的应用

低位直肠癌前切除后如果行结肠直肠(或肛管)端端吻合,"新直肠"容量将明显不足,术后许多病人会出现排便功能障碍,如便频、便急和便不尽感等.为改善术后排便功能,结肠贮袋技术应运而生.本文介绍3种主要结肠贮袋,探讨结肠贮袋的适应证、禁忌证以及并发症,阐述结肠贮袋的应用现状和研究进展,旨在倡导低位直肠癌前切除术中合理应用结肠贮袋,改善病人术后排便功能,提高生活质量.

Colonic pouch application following anterior resection of distal rectal cancer

ter anterior resection with a straight colorectal (or coloanal) anastomosis for distal rectal cancer, the neorectal capacity is significantly deficient, therefore patients complain of postoperative stool excretion dysfunction . For example, patients complain of high stool frequencies, stool urgency and a feeling of incomplete excretion, etc. In order to improve postoperative stool excretion function, the colonic pouch technique gradually evolved. We introduce three main types of colonic pouches, investigating indications, contraindications and complications of the colonic pouch, fully discussing applicatory status and research progress, in order to guide reasonable clinical application of the colonic pouch following anterior resection of distal rectal cancer. It is beneficial to improve postoperative stool excretion function and quality of life in patients with distal rectal cancer.