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目的 探讨改良结肠肛管吻合术在低位直肠癌治疗中的价值。方法 回顾分析 37例低位直肠癌的术后并发症及疗效。结果 术后发生吻合口瘘 2例 ,吻合口狭窄 9例 ,无手术死亡和肛门失禁 ;盆腔复发 5例。结论 改良结肠肛管吻合术在保留肛门功能的同时 ,避免了预防性横结肠造口 ,其局部复发率与低位前切除和经腹会阴切除相似
Objective To explore the value of modified colon anal anastomosis in the treatment of low rectal cancer. Methods Retrospective analysis of postoperative complications and efficacy of 37 cases of low rectal cancer. Results There were 2 cases of anastomotic leakage, 9 cases of anastomotic stenosis, no operative death and anal incontinence, and 5 cases of pelvic recurrence. Conclusions Improved colonic anal anastomosis preserves anal function while avoiding prophylactic transverse colostomy, and its local recurrence rate is similar to that of low anterior resection and transabdominal perineal resection.