直肠拖出式双吻合器技术在低位直肠癌中的应用

Application of the Pull-through Combined with Double Stapling Technique in Low Rectal Carcinoma

目的评价直肠拖出式双吻合器技术治疗低位直肠癌的疗效。方法1998年1月～2007年12月对30例低位直肠癌采用直肠拖出式双吻合器技术进行保肛手术。结果30例患者均成功保留肛门,发生吻合口瘘1例(3.3%),吻合口狭窄1例(3.3%),局部复发2例(6.7%)。术后3～6个月排便功能均控制良好。结论直肠拖出式双吻合器技术方法简单,并发症少。

Objective To evaluate the effect of pull-through combined with double stapling technique for sphincter preservation operation in low rectal carcinoma. Methods The resection through pull-through combined with double stapling technique for sphincter preservation approach was performed on 30 patients with low rectal carcinoma from January 1998 to December 2007. Results Fecal contineces were preserved successfully in all patinets. Complications included anastomotic leak in 1 case （3.3%）, anastomotic stenosis in 1 case（3.3%）, and local recurrence in 2 case（6.7% ）. Defecation was under satisfactory control postoperatively 3- 6months. Conclusion Our experience suggests that the above technioue is simple,and has less complications.