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经腹前切除超低位手工吻合保肛术治疗低位直肠癌(附14例报告)
引用本文:任鹏,王福贻,刘光生,李洪林,丁文贤,丁维宝.经腹前切除超低位手工吻合保肛术治疗低位直肠癌(附14例报告)[J].滨州医学院学报,2003,26(4):270-271.
作者姓名:任鹏  王福贻  刘光生  李洪林  丁文贤  丁维宝
作者单位:滨州市中心医院普外科,251700
摘    要:目的:探讨手工吻合在超低位结直肠吻合手术中的可行性。方法:回顾分析自1999年1月以来4年间治疗低位直肠癌,应用手工吻合行超低位结直肠吻合术14例的临床资料。结果:本组14例,下切线病理均未见癌细胞残留,术后吻合口漏l(7.1%)例,吻合口狭窄l(7.1%)例,刀口液化2(14.3)例,无手术死亡。结论:手工超低位吻合保肛术可做为低位直肠癌保肛手术的一种安全可靠方式。

关 键 词:直肠肿瘤  手工超低位吻合术  直肠结肠切除术  重建性
文章编号:1001-9510(2003)04-0270-02
修稿时间:2002年12月11日

ANUS-SAVING OPERATION WITH ANTERIOR RESECTION AND SUTURED LOWER COLORECTAL ANASTOMOSIS FOR TREATMENT OF LOW RECTAL CANCER
Ren Peng,Wang Fuyi,Liu Guangsheng,et al.ANUS-SAVING OPERATION WITH ANTERIOR RESECTION AND SUTURED LOWER COLORECTAL ANASTOMOSIS FOR TREATMENT OF LOW RECTAL CANCER[J].Journal of Binzhou Medical College,2003,26(4):270-271.
Authors:Ren Peng  Wang Fuyi  Liu Guangsheng  
Abstract:Objective:To evaluate the feasibility of sutured lower colorectal anastomosis in patients with low rectal cancer.Methods:From January 1997 to today,14 patients with low rectal cancer were treated by anus saving operations with sutured lower colorectal anastomosis .The distance between the anal verge and the lower margin of the tumor was less than 7 cm in all cases.Results:There was no operative death.Postoperative anastomotic fistula occurred in 1 patient (7.1%,1/14),anastomotic stenosis in 1 patient (7.1%,1/14) and wound liquefaction in 2 patients (14.3%,2/14).Conclusion:Anus saving operation with sutured lower colorectal anastomosis provided a safe alternative for the treatment of low rectal cancer.
Keywords:rectal neoplasms  sutured lower anastomosis  proctocolectomy  restorative
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