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目的探讨双吻合器在中低位直肠癌保肛手术中的应用。方法1997年3月～2003年2月,应用此技术对59例低位直肠癌(肿瘤下缘距肛缘<12cm)病人行直肠前切除保肛手术,对其资料进行总结分析。结果59例中行根治性切除55例,姑息性切除4例,全组吻合满意。术后出现吻合口漏、吻合口狭窄1例,切口感染2例。结论双吻合器技术能帮助外科医师顺利完成以往手法缝合难以完成的中低位直肠癌直肠前切除保肛手术,是一种安全、可靠、便捷的手术。
Objective To investigate the application of double stapler in the anal sphincter preservation of low and middle rectal cancer. Methods From March 1997 to February 2003, 59 cases of low rectal cancer (lower edge of tumor from anus <12cm) underwent anorectal anorectal anastomosis surgery. The data were summarized and analyzed. Results In the group of 59 cases, 55 cases were removed by radical resection and 4 cases by palliative resection. All patients were satisfied with satisfactory results. Anastomotic leakage, anastomotic stenosis in 1 case, incision infection in 2 cases. Conclusion The double stapling technique can help surgeons to successfully complete the anorectal anorectal anorectomy in the middle and low rectal cancer, which is difficult to be accomplished by the conventional techniques. It is a safe, reliable and convenient operation.