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目的:控讨管型吻合器在套叠外翻肛门外切除治疗低位直肠癌保肛术的可行性。方法:选取2005-20011年于惠州协和医院胃肠外科治疗的25例低位直肠癌在套叠外翻肛门外切除术中彻底切除直肠肿瘤的患者,使用管型吻合器做盆腔内结肠直肠残端吻合。结果:25例患者在手术期无死亡,未发生吻合口漏、出血及盆腔感染,无其他并发症,半年后控便能力正常及良好,1～3年后复发率少。结论:对合适病例应用吻合器外翻拖出式肛门外直肠癌切除术不失为一种安全可靠、操作简便的中低位直肠肿瘤保肛手术方式。
OBJECTIVE: To evaluate the feasibility of tubular stapler in the treatment of low rectal cancer with anal suture in the treatment of intussusception. METHODS: Twenty-five patients with rectal cancer who had undergone complete resection of the rectal cancer during the intussusception of the intussusception were enrolled in this study. The patients who underwent pelvic colorectal stump removal Anastomosis. Results: There were no deaths, no anastomotic leakage, hemorrhage and pelvic infection in 25 patients during the operation. No other complications were found. After half a year, the control ability was normal and good. The relapse rate was less after 1 to 3 years. Conclusion: It is safe, reliable and easy to operate anal sphincter preserving surgery in moderate and low rectal tumors.