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目的 评价直肠外翻切除应用吻合器技术在低位结直肠吻合术中的安全性和有效性。方法 自 1991年以来为 2 1例下段直肠癌病人施行了低位直肠癌外翻切除吻合术。Dukes:A期 6例 ,B期 11例 ,C期 4例。肿瘤距齿线 2～ 3cm 11例 ,3～ 5cm 10例。结果 直肠闭合和肠吻合过程顺利 ,未发现吻合口裂开。全组病人均获得随访 ,发生吻合口狭窄 1例 (4 8%) ,局部复发 2例 (9 5 %)。术后 3～ 6个月排便功能均控制良好。结论 直肠外翻切除吻合术方法简单、并发症少。能完成手术法缝合或双吻合器技术难以完成的低位直肠吻合术。
Objective To evaluate the safety and effectiveness of stapler resection applied in rectal valgus resection in low colorectal anastomosis. Methods A total of 21 lower rectal cancer patients underwent resection and anastomosis of lower rectal cancer since 1991. Dukes: A 6 cases, B 11 cases, C 4 cases. Tumors from the tooth line 2 ~ 3cm 11 cases, 3 ~ 5cm 10 cases. Results The results of rectal and intestinal anastomosis were well and no anastomotic fissure was found. All the patients were followed up, anastomotic stenosis occurred in 1 case (48%), local recurrence in 2 cases (95%). 3 to 6 months after defecation function are well controlled. Conclusions Rectal valgus resection and anastomosis is simple and has few complications. Can complete the surgical suture or double stapler technology is difficult to complete the low rectal anastomosis.