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目的:探讨腹腔镜直肠癌根治术后吻合口漏的原因及防治措施。方法:回顾分析2011年5月至2012年6月为23例患者行腹腔镜直肠癌根治术的临床资料。结果:术后4例发生吻合口漏,其中1例伴发腹膜炎,再次行乙状结肠造口术;3例经肛旁引流、局部冲洗后痊愈;余19例患者术后恢复良好。结论:吻合口漏是腹腔镜直肠癌根治术的严重并发症。减少术中直肠残端的闭合次数、注意吻合口两端肠管的血运情况、减缓术后过早排便等,从外科角度减少此并发症的发生。
Objective: To investigate the causes and prevention measures of anastomotic leakage after laparoscopic radical resection of rectal cancer. Methods: The clinical data of 23 patients undergoing laparoscopic radical resection of rectal cancer from May 2011 to June 2012 were retrospectively analyzed. Results: Anastomotic leakage occurred in 4 cases after surgery. One case was accompanied by peritonitis, and the sigmoid colon was re-performed. Three cases were treated by perianal drainage and partial irrigation, and recovered after 19 cases. Conclusion: Anastomotic leakage is a serious complication of laparoscopic radical resection of rectal cancer. Reduce the number of intraoperative rectal stump closed, pay attention to the intestine at both ends of the intestinal blood circulation, reduce preoperative defecation, etc., from the surgical point of view to reduce the incidence of this complication.