低位直肠前切除术应用双重器械吻合的经验

Application of double stapling technique in low anterior resection of the rectal carcinoma

目的 探讨应用双重器械吻合在保留肛门手术中的应用。方法 回顾性分析我们1994年 6月至 2 0 0 2年 1月期间对 114例低位直肠癌病人应用双重器械吻合 ,行低位直肠前切除术的临床资料及经验。结果 本组 114例无手术死亡 ,4例 (3 .5 % )术后出现吻合口漏 ,5例 (4 .4% )发生吻合口狭窄 ,经冲洗引流及扩肛 2个月后皆治愈。结论 对于低位直肠癌的保肛手术 ,应用双重器械吻合可使手术简便、可靠、安全、省时。

Objective To evaluate the role of double stapling technique in low rectal anastomosis that can save anus.Methods 114 patients with low rectal cancer from June 1994 to January 2002 were treated by low anterior resection of the rectal carcinoma in which the double stapling technique was used,were valuated and the experience was presented.Results Operations of all the 114 patients were successful. Complication included anastomotic fistula in 4 patients (3.5%)and anastomotic stenosis in 5 patients (4.4%) and they were healed by irrigating ?draining the wound and enlarging anus respectively.Conclusion The low anterior resection of the low rectal carcinoma which can save anus becomes safe and time-saving .