双吻合器法在直肠癌保肛手术中的应用

The double stapling technique for anus-saving in rectal cancer

目的 探讨双吻合器吻合法在直肠癌保肛手术中的应用价值。方法 回顾性总结我院 1994～ 1999年 5 2例直肠癌应用双吻合器法行结直肠吻合保肛的经验。结果 本组 5 2例 ,应用双吻合器的直肠癌手术中直肠残端闭合失败 2例 (3 .8% ) ,吻合器切割不全 4例 (7.6% ) ,术后发生吻合口漏 2例 (3 .8% ) ,吻合口狭窄 3例 (5 .8% ) ,切口感染 2例 (3 .8% ) ,吻合口出血 1例 (1.9% )。术后局部复发 3例 (5 .8% ) ,无手术死亡。结论 双吻合器在低位直肠癌保肛手术中是安全可靠的 ,可以帮助外科医生完成以往手法缝合难以完成的低位结直肠吻合术。

Objective To evaluate role of double stapling technique in anus-saving operations for patient with low rectal carcinoma.Method The double stapling technique was used for anus-saving in colorectal anastomosis after anterior resection in 52 patiens with rectal cancer from 1994 to 1999,and the results were evaluated.Results 2 cases were failed to close rectal.4 cases were failed to anastomose.2 cases had anastomotic fistula(3.8%).3 cases had anastomotic stenosis (5.8%).2 cases had waund infection.1 case had anastomotic bleeding.There was no operative death.Conclusion The double stapling technigue provided a safe alternative for anus-saving operation in patients with rectal cancer.