报告了30例直肠癌在手术过程中采用吻合器技术的体会。所有病例肿癌到肛门缘的距离为5～15cm,Dukes分期:A期1例,B_1期5例,B_2例6例,C_1期10例,C_2期8例。术后肿瘤在吻合口处复发,无瘘及盆腔感染等并发症。作者认为应用吻合器具有操作简便,吻合效果可靠,病人易接受,可顺利行低位吻合等优点,作者同时对使用吻合器的常见并发症以及应注意的问题进行了讨论。 Reported 30 cases of rectal cancer using stapler technology during surgery. In all cases, the distance from the tumor to the anal margin was 5 to 15 cm. Dukes stage: 1 in A stage, 5 in B1 stage, 6 in B_2, 10 in C_1, and 8 in C_2. Postoperative tumor recurred at the anastomotic site and there were no complications such as fistula and pelvic infection. The author believes that the use of stapler has the advantages of simple operation, reliable anastomosis, easy acceptance by the patient, and smooth low-level anastomosis. At the same time, the author discusses the common complications of the use of stapler and the problems that should be noted.