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迄今为止,中段直肠癌的手术方式仍是一个有争议的问题,除局部的淋巴回流走向外,在狭小的盆腔内进行手法吻合也是一个棘手的问题。近年来,利用器械进行消化道重建的工作引起了肿瘤外科学者的兴趣。本文总结了浙医二院肿瘤科利用吻合器进行64例直肠低位前切除的经验,手术并发症的防治以及随访病人的结果,以供同道参考。
So far, the surgical method of middle rectal cancer is still a controversial issue. In addition to the local lymphatic flow, the manipulation of the narrow pelvis is an intractable problem. In recent years, the use of equipment for digestive tract reconstruction has attracted the interest of tumor surgeons. This article summarizes the experience of 64 patients undergoing low rectal anterior rectal resection using the stapler in the Department of Oncology of the Second Hospital of Zhejiang Medical University, the prevention and treatment of surgical complications, and the results of follow-up patients for reference.