| 支撑吻合管在低位直肠癌保肛术中的应用研究 |
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| 引用本文： | 李月春,王东霞,叶镇彭,韩晓光,胡夏荣,王彤,王在国,韩方海,伍晓汀. 支撑吻合管在低位直肠癌保肛术中的应用研究[J]. 结直肠肛门外科, 2008, 14(4) |
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| 作者姓名： | 李月春 王东霞 叶镇彭 韩晓光 胡夏荣 王彤 王在国 韩方海 伍晓汀 |
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| 作者单位： | 1. 广东省东莞市人民医院肿瘤外科,523018
2. 四川大学华西医院普外三科 |
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| 摘 要： | 目的 探讨支撑吻合管在低位直肠癌全直肠系膜切除(TME)基础上行结肠一直肠/肛管吻合的应用.方法 155例低位直肠癌TME术后,应用支撑吻合管经肛门行结肠一直肠/肛管吻合进行消化道重建.结果 本组155例无手术死亡及术中严重并发症,术中病理检查无残端癌;术后肛周盆腔感染2例(1.29%),吻合口漏3例(1.94%),吻合13出血5例(3.23%),吻合口狭窄4例(2.58%).寿命表法计算5年生存率和局部复发率分别为78.06%(121/155)及6.45%(10/155).手术后3个月排便功能的优良率为82.58%.结论 低位直肠癌TME术后应用支撑吻合管行结肠-直肠/肛管吻合是安全可行的.
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| 关 键 词： | 直肠肿瘤 保肛手术 重建 支撑吻合管 |
Application of anastomotic support tube or anus-saving operation for low rectal cancer |
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| Li Yuechun,Wang Dongxia,Ye Zhenpeng,et al.. Application of anastomotic support tube or anus-saving operation for low rectal cancer[J]. Journal of Colorectal & Anal Surgery, 2008, 14(4) |
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| Authors: | Li Yuechun Wang Dongxia Ye Zhenpeng et al. |
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| Affiliation: | Li Yuechun,Wang Dongxia,Ye Zhenpeng,et al.Department of Oncology Surgery,Dongguan People's Hospital,Dongguan 523018,Guangdong Province,China |
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| Abstract: | Objective To evaluate a surgical procedure of colo-rectal(anal)anastomoses with anastomotic support tube after total mesorectal excision(TME)for lower rectal cancer.Methods A total of 155 patients with lower rectal cancer underwent alimentary tract reconstruction by colo-rectal(anal)anastomoses with a anastomotic support tube after TME.Results There was no perioperative mortality.All the resection margins were clear.Infection of cavitas pelvis in 2(1.29 %),anastomotic leakage developed in 3 cases(1.94%),ana... |
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| Keywords: | Rectal neoplasms Anus-saving operation Reconstruction anastomotic support tube |
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