直肠癌低位前切除Proximate~与GF-1管状吻合器吻合临床对比研究

目的探讨不同吻合器对直肠癌低位前切除术吻合口的影响。方法回顾性分析比较209例直肠癌低位前切除采用Proximate与GF-1管状吻合器吻合病例资料。结果采用Proximate管状吻合器吻合残端完整100例,吻合口复发1例,GF-1管状吻合器吻合残端完整71例,吻合口复发7例,两组差异显著;手术时间、临时性粪便转流、吻合口漏、吻合口狭窄、吻合口出血两组无显著差异。结论在直肠癌低位前切除中采用管状吻合器吻合是安全可靠的,而Proximate管状吻合器使用更方便,优于GF-1管状吻合器。

Comparison between Proximate ILS and GF-1 circular staplers for low anterior resetion of rectal cancer

Objective To assess the effectiveness of different staplers on the anastomosis in low anterior resection of rectal cancer.Methods Retrospective analysis was conducted on the consecutive data of 209 patients with rectal cancer,who underwent low anterior resection using Proximate ILS or GF-1 circular stapler.Results In the patients with Proximate ILS circular stapler,complete tissue rings were found in 100 patients and local recurrence of anastomosis was found in 1 patients in the period of follow-up.The counterparts of the patients with GF-1 circular stapler were 71 and 7.There were significant diffierences the indexes between the two groups.There were no significant diffierences in operating time,temporary fecal diversion,anastomotic fistula,anastomotic stenosis and anastomotic bleeding between the two groups.Conclusion The application of stapler to low anterior resection of rectal cancer is safe,and Proximate ILS stapler is a more reliable and effective instrument than GF-1 stapler.