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目的探讨低位直肠癌保肛手术。方法 2008年1月至2010年6月低位直肠癌患者68例,采用外翻脱出式单吻合器技术进行低位直肠癌保肛手术,进行总结。结果本组病例均顺利完成手术,术后随访6个月至1年,无吻合口复发及局部复发。无吻合口瘘及吻合口出血;半年出现吻合口狭窄2例,门诊多次使用扩肛器后排便正常。术后5-6个月肛门功能基本恢复正常。结论严格掌握低位直肠癌保肛手术适应证,采取外翻脱出式单吻合器技术,可在直视下测量确定切线,使手术操作更具精确性及安全性,切除更低位的直肠癌,有利于保肛。
Objective To investigate the anal sphincter preservation surgery in low rectal cancer. Methods 68 patients with low rectal cancer from January 2008 to June 2010 were enrolled in this study. Results The patients were successfully completed the operation, followed up for 6 months to 1 year, no anastomotic recurrence and local recurrence. No anastomotic fistula and anastomotic bleeding; half anastomotic stenosis occurred in 2 cases, outpatient repeated use of anus after defecation normal. Anal function basically returned to normal after 5-6 months. Conclusion Strict evidence of indications for sphincter preserving surgery of low rectal cancer was obtained. The everting single stapling technique was used to measure and determine the tangential line under direct vision. The surgical operation was more accurate and safe. The lower rectal cancer was removed. Help keep anal.