支撑吻合管在低位直肠癌保肛术中的应用研究
Application of anastomotic support tube or anus-saving operation for low rectal cancer
李月春 1王东霞 1叶镇彭 1韩晓光 1胡夏荣 1王彤 1王在国 1韩方海 2伍晓汀2
作者信息
- 1. 广东省东莞市人民医院肿瘤外科,523018
- 2. 四川大学华西医院普外三科
- 折叠
摘要
目的 探讨支撑吻合管在低位直肠癌全直肠系膜切除(TME)基础上行结肠一直肠/肛管吻合的应用.方法 155例低位直肠癌TME术后,应用支撑吻合管经肛门行结肠一直肠/肛管吻合进行消化道重建.结果 本组155例无手术死亡及术中严重并发症,术中病理检查无残端癌;术后肛周盆腔感染2例(1.29%),吻合口漏3例(1.94%),吻合13出血5例(3.23%),吻合口狭窄4例(2.58%).寿命表法计算5年生存率和局部复发率分别为78.06%(121/155)及6.45%(10/155).手术后3个月排便功能的优良率为82.58%.结论 低位直肠癌TME术后应用支撑吻合管行结肠-直肠/肛管吻合是安全可行的.
Abstract
Objective To evaluate a surgical procedure of colo-rectal (anal) anastomoses with anastomotic support tube after total mesorectal excision (TME) for lower rectal cancer. Methods A total of 155 patients with lower rectal cancer underwent alimentary tract reconstruction by colo-rectal (anal) anastomoses with a anastomotic support tube after TME. Results There was no perioperative mortality. All the resection margins were clear. Infection of cavitas pelvis in 2 (1.29%), anastomotic leakage developed in 3 cases(1.94%), anastomotic hemorrhage in 5 (3.23%), and stenosis in 4 (2.58%) after operation. Postoperative 5-year survival and recurrence rate was 78.06%(121/155), 6.45 %(10/155) respectively. The defecation function was satisfactory in 82.58% cases. Conclusion Colo-rectal (anal) anastomoses with anastomotic support tube after TME is safe and efective for lower rectal cancer.
关键词
直肠肿瘤/保肛手术/重建/支撑吻合管Key words
Rectal neoplasms/Anus-saving operation/Reconstruction/anastomotic support tube引用本文复制引用
出版年
2008
国家科技期刊平台
NSTL
维普
万方数据