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直肠癌低位前切除术双吻合器致吻合口瘘原因分析及预防 被引量:6

Analysis and prevention of anastomotic leakage in low anterior resection of rectal cancer with double stapling device
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摘要 为研究直肠癌低位前切除术中双吻合器致吻合口瘘的原因,并探讨其预防方法,3年中共应用双吻合器实施直肠癌低位前切除术70例,对发生吻合口瘘者进行分析和总结。结果示,发生吻合口瘘4例,发生率为571%(4/70)。初步研究结果提示,直肠癌低位前切除术双吻合器吻合安全可靠。吻合口瘘的发生原因主要是术中止血不彻底及吻合操作不规范所致。 The objective of this study was to investigate the reason and preventive methods of anastomotic leakage and explore preventive methods in low anterior resection of rectal cancer with double stapling device.From October 1999 to October 2002, 70 patients with rectal carcinoma underwent low anterior resection with the double stapling device.The patients who had anastomotic leakage were investigated.Results:The rate of leakage was 5.71%(4/70).Conlusions:The double stapling device is safe. Imperfect hemostasis and inappropriate anastomosis method are the main reasons of anastomotic leakage. Chin J Cancer Prev Treat,2005,12(2):141-142
出处 《肿瘤防治杂志》 2005年第2期141-142,共2页 China Journal of Cancer Prevention and Treatment
关键词 直肠肿瘤/外科学 双吻合器 吻合口瘘 rectal neoplasms/surgery double stapling device anastomotic leakage
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参考文献3

  • 1傅传刚,金国祥,屠岳,孟荣贵.双吻合器吻合法在直肠癌保肛手术中的应用[J].中华普通外科杂志,1999,14(1):48-49. 被引量:83
  • 2Miller K, Moritz E. Circular stapling techniques for low anterior resection of rectal carcinoma[J].Hepatogastroenterology, 1996,43 (10):823-831.
  • 3Redmond H P, Austin O M, Clery A P, et al. Safety of double-stapled anastomosis in low anterior resection[J]. Br J Surg,1993,80 (7):924-927.

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