国产单吻合器在直肠癌前切除术中的应用
国产,,直肠癌;,前切除术;,吻合器;,并发症,1资料与方法,2结果,3讨论,参考文献:
摘要: 目的: 了解使用国产一次性单吻合器行中低位直肠癌前切除术的外科效果。方法: 回顾性分析我院2003年8月~2004年10月采用国产单吻合器行中低位直肠癌前切除术72例的临床资料,对其疗效、安全性及并发症进行分析。结果: 72例中Dukes分期:A期18例,B期29例,C期25例。9例(12.5%)出现术后并发症,吻合口瘘5例(6.94%),伤口感染2例(2.77%);切口疝2例(2.77%);低位前切除45例中,3例(6.67%)控便不良,有正常便意,可控制半成形便,对稀便及水样便控制较差。结论: 应用国产一次性单吻合器技术进行直肠癌前切除手术安全性好,经济实用,中低位直肠癌保肛成功率高,对预后无不良影响。关键词: 直肠癌; 前切除术; 吻合器; 并发症
The application of domestic single anastomat in the surgry of the anteriorresection for rectal cancer
WANG Haijiang, YIN Dong, CHEN Peng, et al
(First Departmant of Surgical Oneology, Affiliated Tumor Hospital,Xinjiang Medical University, Urumqi 830011, China)
Abstract: Objective: To evaluate the surgical value of domestic single anastomate in surgry of the anterior resection for rectal cancer. Methods: Clinic data of 72 patients with rectal cancer undergone the anterior resection in our department from August 2003 to October 2004 were reviewed. Among them there were Dukes A 18 cases, Dukes B 29 cases, and Dukes C 25 cases. Results: The incindence of complication was 12.5% (9 cases). 5 cases with anastomotic leakage (6.94%), 2 cases with infection of incinsional wound(2.77%); 2 cases with incisional hernia(2.77%). 45 cases underwent low anterior resection, 3 cases (6.67%) had nomal awareness of defecation, could dominate semiformed stool,but could not dominate sparse stool and watery stool well. Conclusions: The surgry of the low anterior and sphinctersaving resection with domestic single anastomate was safe and credible;The application of domestic single anastomat in the surgry of the anterior resection for rectal cancer is econmical and practical. ......
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