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浙医二院肿瘤外科自1680.6～1683.4年共76例直肠中上段癌在前切除术中应用吻合器吻合,其中男性49例,女性27例,年令21～77岁,中位年令为52岁,病变范围距肛门缘6～15cm(以胸膝位直肠镜所测距离为准),距肛门缘6～8cm的36例,9～11cm的25例,12～15cm的15例。全部病例术前都经活检证实为腺癌,且临床都无肠梗阻情况。术前按常规行结肠手术准备,肿瘤切除后经肛门进行吻合。根据术前肿瘤部位,肿瘤的大小及组织学类型,并结合术中探查结果,而决定肿瘤下切缘的距离,通常都在4～5cm之间,器械内切下二圈环状组织一并送
The Department of Oncology of Zhe-Jing Second Hospital applied a stapler to anterior resection of 76 patients with rectal mid-upper segment carcinoma from 1680.6 to 1683.4. Among them, there were 49 males and 27 females, aged 21 to 77 years, and a median age of 52. At the age of six months, the lesion ranged from 6 to 15 cm from the anal margin (according to the distance measured by the proctoscopy of the chest and knee), 36 to 6 cm from the anal margin, 25 to 9 to 11 cm, and 15 to 12 to 15 cm. All cases were confirmed by biopsy as adenocarcinoma before surgery, and there was no intestinal obstruction in the clinic. Colonic surgery was performed routinely before surgery and anastomosis was performed through the anus after tumor resection. According to the preoperative tumor location, tumor size and histological type, combined with intraoperative exploration results, and determine the distance of the tumor’s lower margin, usually between 4 ~ 5cm, two round ring tissue within the device will be sent together