Preventive Measure of Anastomotic Leakage in Low Anterior Resection of Rectal Cancer with Double Stapling Technique_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

张宏 , 陈春生 , 乔雷 , 丛进春 , 冯勇 , 刘恩卿

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Keywords：

直肠癌; 吻合口漏; 双吻合器

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目的　探讨低位直肠癌双吻合器保肛手术后吻合口漏的预防。
方法　回顾性分析2000年5月至2005年5月我院肛肠外科行双吻合器保肛手术的78例低位直肠癌患者的资料。
结果　所有病例应用双吻合器进行直肠闭合并吻合成功,术后切缘病理检查均未见癌细胞浸润,无吻合口漏及手术死亡。随访73例(93.6%),随访时间9~65个月，平均35个月。盆腔复发2例(2.6%),腹腔广泛转移1例(1.3%),肝脏转移7例(9.0%),吻合口局部复发1例（1.3%,术后11个月再次行Miles术）。
结论　双吻合技术为低位直肠癌患者提供更多的保肛机会,使用得当可有效预防吻合口漏的发生。

Citation： 张宏,陈春生,乔雷,丛进春,冯勇,刘恩卿. Preventive Measure of Anastomotic Leakage in Low Anterior Resection of Rectal Cancer with Double Stapling Technique. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(1): 89-90. doi: Copy

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1. 　Griffen FD, Knight CD, Whitaker JM. et al. The double stapling technique for low anterior resection. Results, modifications, and observations [Ｊ]. Ann Surg, 1990; 211(6)∶745.
2. 　邱辉忠. 双吻合技术在低位直肠肿瘤手术中的应用 [Ｊ]. 中国实用外科杂志, 2005; 25(3)∶139.
3. 　郁宝铭，李东华，郑民华，等. 直肠系膜全切除在双吻合器低位前切除术中的意义 [Ｊ]. 中华外科杂志, 2000; 38(7)∶496.
4. 　黄伟民，李洪涛，杨明，等. 直肠癌双吻合器保肛术吻合口漏的预防和治疗(附81例报告) [Ｊ]. 中国普外基础与临床杂志, 2005; 12(1)∶40.
5. 　Fu CG, Muto T, Masaki T. Results of the double stapling procedure in colorectal surgery [Ｊ]. Surg Today, 1997; 27(8)∶706.
6. 　Sato H, Maeda K, Hanai T, et al. Modified double-stapling technique in low anterior resection for lower rectal carcinoma [Ｊ]. Surg Today, 2006; 36(1)∶30.
7. 　Asao T, Kuwano H, Nakamura J, et al. Use of a mattress suture to eliminate dog ears in double-stapled and triple-stapled anastomoses [Ｊ]. Dis Colon Rectum, 2002; 45(1)∶137.
8. 　Roumen RM, Rahusen FT, Wijnen MH, et al. “Dog ear” formation after double-stapled low anterior resection as a risk factor for anastomotic disruption [Ｊ]. Dis Colon Rectum, 2000; 43(4)∶522.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Preventive Measure of Anastomotic Leakage in Low Anterior Resection of Rectal Cancer with Double Stapling Technique

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