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目的探讨及评价直肠中、下段占位性病灶,尤其是良性病变应用管型肠吻合器经肛切除的价值。方法应用吻合器对36例距肛缘5~12cm直肠占位性病灶经肛进行了切除。就手术方法、时间、复发、并发症及不足之处进行回顾。结果手术时间平均34min。除1例管状绒毛状腺瘤术后早期吻合创缘出血、1例绒毛状腺瘤术后14个月复发外,无其他与本术式有关的并发症发生。结论吻合器在直肠中、下段占位性病灶在一定范围内经肛切除是可行的,但存在一些不足之处需从器械设计上进行改进。
Objective To investigate and evaluate the value of transanal resection of midline and lower space occupying lesions, especially benign lesions using tubular enterostomy. Methods A total of 36 cases of rectal lesions between 5 and 12 cm from the anal verge were resected through the anus. Surgical methods, time, recurrence, complications and deficiencies were reviewed. Results The average operation time was 34min. In addition to 1 case of tubular villous adenoma early postoperative anastomotic bleeding, 1 case of villous adenoma recurrence 14 months after surgery, no other complications associated with this procedure. Conclusions The stapler in the rectum, lower space occupying lesions within a certain range of anal resection is feasible, but there are some shortcomings need to be improved from the device design.