直肠拖出双吻合器保肛术治疗超低位直肠癌

The pull-through combined with double stapling technique for sphincter preservation operation in super-low rectal carcinoma

目的评价直肠拖出采用双吻合器技术实施保肛超低位直肠癌切除手术的疗效。方法1997年12月至2005年1月对38例超低位直肠癌,采用直肠拖出、双吻合器技术行保肛的手术切除。结果38例病人均成功地保留了有大便控制功能的肛门,术后发生吻合口瘘1例,随访中有2例局部复发。结论直肠拖出双吻合器保肛术是安全可行的。

Objective To evaluate the effect of pull-through combined with double stapling technique for sphincter preservation operation in super-low rectal carcinoma. Methods The resection through pull-through combined with double stapling technique for sphincter preservation approach was performed on 38 patients with super-low rectal carcinoma from December 1997 to January 2005. Results Fecal continences were preserved successfully in all patients. Only one got anastomosis leak after operation. At follow-up, two patients had postoperative recurrences. Conclusion Pull-through combined with double stapling technique for sphinceter preservation operation is useful and safe in super-low rectal carcinoma.