双吻合器在直肠癌手术中应用的临床分析(附49例分析)

目的探讨双吻合器在低位直肠癌手术中的应用价值。方法分析我院2001年1月～2004年7月间应用双吻合器行直肠前切除结直肠端吻合术(Dixon术)49例病例,其中肿瘤距肛缘<7cm20例,占40.82%;属低位吻合的46例,占93.88%,最低吻合口距肛缘仅3cm。结果全组无死亡病例;术后发生吻合口瘘1例(2.05%),吻合口狭窄7例(14.29%);平均随访25个月,术后局部复发2例,复发率4.08%。结论本组资料显示双吻合器明显提高了低位直肠癌的保肛成功率,而且局部复发率未见增加,说明应用双吻合器进行保肛手术是合适的;指出术后吻合口瘘和吻合口狭窄是双吻合器手术的主要并发症;同时强调不能一味追求保肛而忽视了根治性疗效。

The role of deouble stapling device in surgical treatment in low rectal cancer (Analysis of 49 cases)

Objective To explore the role of double stapling device in surgical treatment in low rectal cancer.Methods A series of 49 cases of anterior reswection with end-to -end anastomosis by using double stapling device were carried out during January 2000 through July 2004,among which 20 casese were low rectal cancer(7cn or less fromm anal verge) accounted for 40.83%.Results There waw no operative death.Anastomotic stricture occurred in 7 cases(14.29%).There was 2 case of local recurrence with an overall local recurrence rate of 4.08%.Conclusion The date have showed that the sphincter saving device has significantly raised the sphincter saving resection rate in low rectal cancer without increasing the local recurrence rate simultaneously.Anastomotic leakage and stricture are two common complications follows low anastomosis with staplers.