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目的 评估双吻合器在直肠癌保肛术中的应用价值 ,探讨吻合口瘘的预防措施。方法 4年来采用双吻合器行直肠癌前切除术 91例 ,其中返折下癌 82例。结果 吻合口瘘发生率 :全组 3 .3 % ( 3 / 91) ,其中 1根骶前引流管组为 6.1% ( 2 / 3 3 ) ,两根骶前引流管组为 1.7% ( 1/ 5 8)。结论 双吻合器吻合法安全、可靠。
Objective To evaluate the application value of double stapling device in anus-preserving operation for rectal cancer and explore the preventive measures for anastomotic leakage. Methods Forty-four patients underwent anterior resection of rectal cancer with double stapling technique in the past 4 years, including 82 cases of recurrent cancer. Results The incidence rate of anastomotic leakage was 3. 3 % (3 / 91) in the whole group, of which 1 was anterior tibial drainage group was 6.1% (2/3 3), and two anterior tibial drainage group was 1.7% ( 1/ 5 8). Conclusion The double stapler anastomosis method is safe and reliable.