结肠J型贮袋在低位直肠癌吻合术32例中的应用

J-pouch coloanal anastomosis after low anterior resection for the low rectal carcinoma in 32 cases

目的 探讨结肠J型贮袋在低位直肠癌手术中的应用。方法 对我科2001年～2004年实施的直肠癌结肠J型贮袋肛管（直肠）吻合术32例的临床资料进行回顾性分析。结果 全组无术中意外损伤及大出血病例。无死亡病例。发生吻合口狭窄1例。无吻合口漏及便秘。病人术后1年内排便状况满意。结论 低位直肠癌行结肠J型贮袋肛管（直肠）吻合术具有操作方便、易于观察、容易推广等特点，有明显改善排便功能的作用，可显著提高病人术后的生活质量。

Objective To evaluate J-pouch coloanal anastomosis after low anterior resection tor the low rectal carcinoma. Methods After TME in 32 cases of lower rectal carcinoma,a 6cm colonic Jpurch was made followed by colo-rectal（anal） anastomoses, while the rectal remnant no more than 5cm. Results There was no perioperative mortality. All these patients were operated successfully without massive haemorrhage and unexpected trauma. Anastomotic stenosis developed in 1 case. No anastomotic leakage and constipation developed in all these cases. During a follow-up of one year, defecation function was satisfactory. Conclusion J-pouch coloanal anastomosis after low anterior resection for the low rectal carcinoma is safe and convenient for lower rectal cancer. It significantly improves the defecation function after operation