低位直肠癌低位前切除的合理性及技巧

1992年7月至1996年8月对19例低位直肠癌施行低位Diton术，其中属超低位吻合者8例，除2例使用EEA吻合器外，其余6例均经手法缝合获得成功．全组无手术死亡和术后并发症，随访1年以上者8例．其中3例已超过3年，未发现复发或转移，排便功能基本良好．结果表明，低位直肠癌施行低位、超低位Dixon术是合理的．可行的．选择合适病例．注重手术技巧以及辅以必要综合治疗，是低位、超低位直肠前切除端端吻合术(Dixon术)取得成功的关键所在。

THE RATIONALE AND SKILL IN LOW DIXON OPERATION FOR LOW RECTUM CANCER

Low Dixon operations were performed in 13 low rectum cancer patients. Of these patients, super-low anastomosis were performed in 8 patients, in which. EEA anastamat was ap-plied in 2 patients, while the others were manually stitched successfully. None of them died during operation or had post operation complications. 8 cases had been followed up for more than one year, and 3 of them for more than 3 years. No recurrence or metastasis had been observed. The defecation function remained good. The result shows that low Dixon or super-low Dixon operation is rationale and feasible. Selection of suitable cases, paying special attention to the operation skill, and supported by other integrated treatments are the keys to success.