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目的探讨双吻合器吻合法(DST)联合全直肠系膜切除(TME)在低位直肠癌保肛手术中的应用价值。方法回顾性分析DST联合TME治疗低位直肠癌86例临床资料。结果所有病例应用双吻合器进行直肠闭合和吻合进程顺利,术后发生吻合口漏3例(35%),吻合口狭窄2例(23%),吻合口出血1例(12%),切口感染2例(23%),术后肛门疼痛1例(12%),局部复发3例(35%),未出现排尿、性功能障碍和手术死亡。结论DST与TME联合应用是治疗低位直肠癌的有效、安全的术式,并发症少,能提高患者生存质量。
Objective To investigate the value of double stapling anastomosis (DST) combined with total mesorectal excision (TME) in anorectal surgery of low rectal cancer. Methods The clinical data of 86 cases with low rectal cancer treated with DST combined with TME were retrospectively analyzed. Results All patients underwent double stapling for rectal closure and anastomosis. The anastomotic leakage occurred in 3 cases (35%), anastomotic stenosis in 2 cases (23%), anastomotic bleeding in 1 case (12%), incisional infection There were 2 cases (23%), 1 case of postoperative anorectal pain (12%) and 3 cases of local recurrence (35%). No urination, sexual dysfunction and surgical death occurred. Conclusion The combination of DST and TME is an effective and safe procedure for the treatment of low rectal cancer with fewer complications and better quality of life.