全直肠系膜切除及双吻合器技术在低位直肠癌保肛手术中的应用

Application of TME and the double staping technique in anus reservation of low rectal cacinoma

目的评价全直肠系膜切除(TME)、双吻合器在低位直肠癌保肛手术中的应用.方法回顾性分析92例采用直肠全系膜切除、双吻合器行低位直肠癌前切除术患者临床资料.结果术后发生吻合口漏3例(3.3%),吻合口狭窄5例(5.4%).术后随访1～5年,局部复发6例(6.5%).结论低位直肠癌全直肠系膜切除能降低局部复发,而双吻合器的应用能提高低位直肠癌的保肛率.

Objective To evaluated the values of both the total mesorectal excision（TME） and the double staping technique in low rectal carcinoma, Methods The author summarized 92 patients with low rectal carcinoma had undergone rectectomy with this technique. Results The anastomotic leakage occurred in 3 patients,and anastomotic stricture occurred in 5 cases in this group. All patients were followed-up for 1 to 5 years,local recurrence occurred in 5 cases, distance metastases and death occurred in 5 patients. Conclusion TME can decrease the rates of local recurrence in low rectal carcinoma,and the double stapling technique can increase the probability of anus reservation.