摘要
目的:探讨使用双吻合器(Double stapling technique,DST)行低位直肠癌保肛术。方法:65例患者成功使用DST技术吻合。1例手术中行I125粒子植入内放疗,5例手术中植入5-氟脲嘧啶缓释制剂化疗,其余均术后2W开始用奥沙利铂+氟脲嘧啶+亚叶酸钙化疗3个疗程。结果:本组65例无手术死亡及术中严重并发症,术中病理检查无残端癌;术后肛周盆腔感染1例(1.54%),吻合口漏2例(3.08%),吻合口出血1例(1.54%),吻合口狭窄1例(1.54%)。手术后3个月排便功能的优良率为83.08%(54/65)。结论:选择适当病例用双吻合器行低位直肠癌保肛术是安全可行的。
Objective: Explore the use of double staplingline of low rectal cancer surgery anus. Methods: 65 cases of patients with the use of the success of DST technology fit. 1 case received I125 seed implantation surgery with radiation therapy, 5 patients implanted in 5 -- fluorouracil sustained--release chemotherapy agents, and all the rest after the beginning of 2W + oxaliplatin with fluorouracil + leucovorin chemotherapy 3 Course of treatment. Results:This group of 65 patients with no surgical deaths and serious complications in surgery, pathology in patients without cancer stump; perianal after 1 case of pelvic infection (1.54%), anastomotic leakage in 2 cases (3.08%), anastomotic bleeding 1 cases (1.54%), anastomotic stenosis 1 (1. 54%). 3 months after the operation of the defecation rate of 83.08 % fine (54/65). Conclusion: Select the appropriate cases with two--line stapler lower rectal sphincter surgery is safe.
出处
《内蒙古中医药》
2009年第3期25-27,共3页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
双吻合器
直肠癌
保肛术
Double stapling
Cancer
Anus surgery