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目的 :对腔内直线切割缝合器在腹腔镜下直肠癌根治术中的应用效果进行讨论。方法 :选取了2015年1月-2016年1月至昆明医科大学第一附属医院就诊的行直肠癌根治术的患者146例,将其分为对照组和应用组,每组各为80例和66例,应用组使用腔内直线切割缝合器进行缝合;对照组使用圆形切割吻合器进行缝合,对两组患者的手术时间、吻合时间、术中出血量以及并发症等各种情况进行对比。结果 :应用组的手术时间、吻合时间以及术后肠功能恢复时间等明显比对照组来的短,且术后并发症少。结论 :腔内直线切割缝合器在直肠癌根治术中的应用效果显著,值得推广。
OBJECTIVE: To discuss the effect of intraoral linear suture stapler in laparoscopic radical resection of rectal cancer. Methods: A total of 146 patients undergoing radical resection of rectal cancer who were admitted to the First Affiliated Hospital of Kunming Medical University from January 2015 to January 2016 were selected and divided into control group and application group, with 80 cases in each group 66 cases, the application group using intracavitary suture suture; the control group using round cutting stapler for suture, the two groups of patients operating time, anastomosis time, blood loss and complications such as a variety of situations were compared . Results: The operation time, anastomosis time and the recovery time of intestinal function in the application group were significantly shorter than those in the control group, with less postoperative complications. Conclusion: The application of endovascular excision and suture in radical resection of rectal cancer is significant and worth promoting.