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目的探讨老年直肠癌腹腔镜全直肠系膜切除术(TME)后吻合口瘘发生的原因。方法将2012年2月至2013年5月郑州大学附属肿瘤医院普外科96例行TME老年直肠癌患者,分析目前该科老年患者TME后吻合口瘘的危险因素。结果单因素分析和多因素分析年龄>70岁、男性、肿瘤下缘距肛门距离<5.0 cm;镜下吻合钉匣数目≥3个是老年TME后吻合口瘘发生的主要危险因素。结论年龄>70岁、男性、肿瘤下缘距肛门距离<5.0 cm;镜下吻合钉匣数目≥3个是老年腹腔镜全直肠系膜切除术发生的主要危险因素。
Objective To investigate the causes of anastomotic leakage after laparoscopic total mesorectal excision (TME) in elderly patients with rectal cancer. Methods From February 2012 to May 2013, 96 patients with TME elderly patients with rectal cancer underwent general surgery in Affiliated Tumor Hospital of Zhengzhou University. The risk factors of anastomotic leakage after TME in the elderly were analyzed. Results Univariate analysis and multivariate analysis showed that the age> 70 years old, male, the lower edge of the tumor away from the anus was less than 5.0 cm, and the number of anastomotic staples was more than 3 was the main risk factor of anastomotic fistula after TME. Conclusion The age> 70 years old, male, the lower edge of the tumor away from the anus <5.0 cm; the number of anastomosed staples in the mirror is more than 3 is the main risk factor of the elderly laparoscopic total mesorectal excision.