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目的 探讨双直肠癌患者行全直肠系膜切除 (TME)的临床疗效。方法 对 78例直肠癌患者按照TME原则进行根治性切除的临床资料进行分析 ,评价双吻合器技术在低位结直肠吻合术中的作用。结果 全组术中直肠闭合和结直肠吻合过程顺利。术后吻合瘘 4例 ( 5 1% )吻合口狭窄 7例 ( 9% )。患者随访率 89 7% ( 70 /78) ,局部复发 5例 7% ( 5 /70 ) 5年生存率为 5 8 5 % ( 4 1/70 )。结论 TME是预防直肠癌术后局部复 ,提高生存率的有效措施。
Objective To investigate the clinical effect of total mesorectal excision (TME) in patients with double-rectal cancer. Methods The clinical data of 78 patients with rectal cancer underwent radical resection according to TME principle were analyzed to evaluate the effect of double stapling technique in low-level colorectal anastomosis. Results The whole group of intraoperative rectal closure and colorectal anastomosis was smooth. Postoperative anastomotic leakage in 4 cases (51%) anastomotic stenosis in 7 cases (9%). The follow-up rate was 89.7% (70/78) in patients and 5% (5/70) in 5 patients with local recurrence. The 5-year survival rate was 58.5% (4 1/70). Conclusion TME is an effective measure to prevent postoperative local complex and increase survival rate of rectal cancer.