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目的探讨全直肠系膜切除联合双吻合器在中低位直肠癌保肛手术中的应用。方法回顾性分析了56例中低位直肠癌进行全直肠系膜切除联合双吻合器手术的临床效果。结果无术后死亡病例,术后出现吻合口瘘1例,吻合口狭窄2例,术后控制排便能力100%。术后随访2～5年,局部复发3例。结论全直肠系膜切除联合双吻合器技术在低位直肠癌保肛手术中安全可靠,明显提高了低位直肠癌的保肛手术率。
Objective To investigate the application of total mesorectal excision combined with double stapler in the anorectal surgery of low and middle rectal cancer. Methods The clinical effects of total mesorectal excision combined with double stapler surgery in 56 cases of low and middle rectal cancer were analyzed retrospectively. Results No postoperative deaths, 1 case of anastomotic fistula, 2 cases of anastomotic stricture, postoperative bowel control 100%. The patients were followed up for 2 to 5 years and 3 cases were locally recurred. Conclusions Total mesorectal excision combined with double stapler technique is safe and effective in the treatment of anorectal cancer in low rectal cancer and significantly improves the rate of anorectal surgery for low rectal cancer.