低位直肠癌保肛术中应用双吻合器65例的临床体会

目的：探讨使用双吻合器（Double stapling technique,DST）行低位直肠癌保肛术。方法：65例患者成功使用DST技术吻合。1例手术中行I125粒子植入内放疗,5例手术中植入5-氟脲嘧啶缓释制剂化疗,其余均术后2W开始用奥沙利铂＋氟脲嘧啶＋亚叶酸钙化疗3个疗程。结果：本组65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1例（1.54%）,吻合口漏2例（3.08%）,吻合口出血1例（1.54%）,吻合口狭窄1例（1.54%）。手术后3个月排便功能的优良率为83.08%（54/65）。结论：选择适当病例用双吻合器行低位直肠癌保肛术是安全可行的。

Clinical Experience of Low Rectal Cancer Surgery Anal Double Stapling of the 65 Cases

Objective： Explore the use of double staplingline of low rectal cancer surgery anus. Methods： 65 cases of patients with the use of the success of DST technology fit. 1 case received I125 seed implantation surgery with radiation therapy, 5 patients implanted in 5 -- fluorouracil sustained--release chemotherapy agents, and all the rest after the beginning of 2W ＋ oxaliplatin with fluorouracil ＋ leucovorin chemotherapy 3 Course of treatment. Results：This group of 65 patients with no surgical deaths and serious complications in surgery, pathology in patients without cancer stump; perianal after 1 case of pelvic infection （1.54%）, anastomotic leakage in 2 cases （3.08%）, anastomotic bleeding 1 cases （1.54%）, anastomotic stenosis 1 （1. 54%）. 3 months after the operation of the defecation rate of 83.08 % fine （54/65）. Conclusion： Select the appropriate cases with two--line stapler lower rectal sphincter surgery is safe.