| 减少低位直肠癌全直肠系膜切除吻合口瘘的手术策略 |
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| 引用本文： | 廖忠,马小平,廖国庆,张光全. 减少低位直肠癌全直肠系膜切除吻合口瘘的手术策略[J]. 局解手术学杂志, 2006, 15(1): 23-24 |
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| 作者姓名： | 廖忠 马小平 廖国庆 张光全 |
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| 作者单位： | 成都市第六人民医院肝胆外科 四川成都610051 |
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| 摘 要： | 目的探讨术中有效减少低位直肠癌全直肠系膜切除吻合口瘘的手段。方法回顾分析本院2002年至2005年58例低位直肠癌行全直肠系膜切除术的临床资料。结果吻合口瘘4例,发生率6.9%,无再次手术病例。结论缩短手术时间、良好的血供、双吻合器、加强缝合、有效盆腔引流是减少吻合口瘘的有效措施。
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| 关 键 词： | 低位直肠癌 全直肠系膜切除术 吻合口瘘 |
| 文章编号： | 1672-5042（2006）01-0023-02 |
| 收稿时间： | 2005-09-25 |
| 修稿时间： | 2005-11-24 |
Surgical tactics in abating anastomotic stoma fistula after total mesorectal excision for low rectum cancer |
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| LIAO Zhong,MA Xiao-ping,LIAO Guo-qing,ZHANG Guan-quan. Surgical tactics in abating anastomotic stoma fistula after total mesorectal excision for low rectum cancer[J]. Journal of Regional Anatomy and Operative Surgery, 2006, 15(1): 23-24 |
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| Authors: | LIAO Zhong MA Xiao-ping LIAO Guo-qing ZHANG Guan-quan |
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| Abstract: | Objective To explore some effectual treatment that can abate anastomotic stotma fistula after total mesorectal excision(TME) for low rectum cancer.Methods Totally 58 patients of low rectum cancer underwent TME from 2002 to 2005 in our hospital,37 male and 21 female,with an average age of 63 years old.The cancer of all cases located within 5-7 cm to anus and classified as Dukes A in 18 cases,Dukes B in 33 cases and Dukes C in 7 cases.Results Anastomotic stoma fistula occurred in 4 cases(6.9%) and nobody needed reoperation.Conclusion There are some effectual measures in abating the anastomotic stoma fistula,such as short operation time,good blood supply to the anastomotic stoma,application of double stapling device,reinforced suture of anastomotic stoma and effetive drainage. |
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| Keywords: | low rectum cancer total mesorectum excision anastomotic stotma fistula |
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