弧形切割吻合器在直肠癌前切除术中的临床应用研究

目的 探讨弧形切割吻合器在直肠癌前切除术中的应用价值.方法 回顾性分析2005年11月至2006年8月间收治的57例直肠癌应用弧形切割吻合器进行前切除的临床资料.其中行双重器械吻合前切除术51例;Hartmann术6例.结果 双重器械吻合前切除51例中超低位吻合41例(80.4%),术后均无局部复发;吻合口瘘1例(2.0%),吻合口出血3例(5.9%),直肠阴道瘘2例(22例女性患者,发生率9.1%).行Hartmann术6例,直肠切割吻合处平均距肛缘2.8 cm.结论 弧形切割吻合器应用于低位直肠癌的保肛手术中具有吻合口瘘发生率低的优点.

Clinical study on the use of the curved cutter stapler in anterior resection of rectal cancer

Objective To evaluate the application of curved cutter stapler(Contour TM)in the anterior resection of rectal cancer.Methods The clinical data of 57 patients of rectal cancer， who received anterior resection with the curved cutter stapler during the period between November 2005 and August 2006，were analyzed retrospectively.Of the 51 cases who received double stapling technique anterior resection.Of the 6 patients who underwent Hartmann procedure.Results Among above 51patients，41 patients(80.4％)were uhralow anastomosis and no local recurrence occurred.Anastomotic leakage was found in 1 patient，anastomotic bleeding occurred in 3 patients and rectovaginal fistula in 2.In the 6 patients who received Hartmann's procedure，the average distance from cutting and closing line to anal verge was 2.8 cm.Conclusion The ContourTm curved cutter stapler is superior in the anus-preserving surgery of lower rectal cancer when compared with linear stapler.