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目的探讨国产双吻合器在直肠癌保肛手术中的应用价值。方法回顾性总结我院1996年以来67例直肠癌患者应用国产双吻合器法行结直肠吻合保肛手术的经验。结果本组在直肠癌手术中应用双吻合器作直肠残端闭合均成功。吻合器切割不全4例,术后发生吻合口瘘2例(3.0%),切口感染2例(3.0%),吻合口出血1例(1.5%)。术后病理检查切缘癌细胞阴性65例,阳性2例。术后局部复发3例(4.5%),无手术死亡。结论国产双吻合器在低位直肠癌保肛手术中是安全可靠的,它可以完成以往手法缝合难以完成的低位结直肠吻合术。
Objective To investigate the application value of domestic double stapler in anorectal surgery of rectal cancer. Methods A retrospective review of 67 cases of rectal cancer patients in our hospital since 1996 with double stapling method for colorectal anastomosis anus surgery experience. Results This group of double staplers in rectal cancer surgery for rectal stump closure were successful. There were 4 cases with stapler incomplete incision, 2 cases (3.0%) with anastomotic leakage, 2 cases with incision infection (3.0%) and 1 case with anastomotic bleeding (1.5%). Pathological examination after resection of the cancer-negative 65 cases, 2 were positive. Postoperative local recurrence in 3 cases (4.5%), no surgical death. Conclusion Domestic double stapler is safe and reliable in the treatment of anorectal surgery for low rectal cancer. It can accomplish the low level colorectal anastomosis which is difficult to be accomplished by the conventional techniques.