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目的增强中低位直肠癌术后生存的状态,避免狭窄、吻合口漏等并发症的发生,预防永久性结肠造口的发生。方法使用吻合器技术行直肠癌切除术对80例距肛缘6~10 cm的直肠癌进行试验。结果随机回访80例,局部复发15例,死亡8例,36例术后排便功能不够完全,没有吻合口漏及狭窄,半年内一点点的恢复正常。结论保证胃肠手术后有效、简便安全的手段是肠内营养的支持,为了协助肠功能以最大速度恢复,可立即改变并完善营养状况。在胃肠手术早期应用肠内营养支持吻合器技术具有安全、简单、吻合可靠等特征,在中低位直肠癌手术成败中起非常重要的作用,在临床推广应用方面具有很重要的意义。
Objective To enhance the postoperative survival of low and middle rectal cancer, to avoid the occurrence of complications such as stenosis and anastomotic leakage, and to prevent the occurrence of permanent colostomy. Methods Rectal cancer resection was performed using stapler technique in 80 patients with rectal cancer of 6 ~ 10 cm from anal verge. Results A total of 80 cases were retrospectively reviewed. There were 15 cases of local recurrence and 8 cases of death. The defecation function was not complete in 36 cases. There was no anastomotic leakage and stenosis. A little bit returned to normal within 6 months. Conclusion Effective, simple and safe means of ensuring gastrointestinal surgery is the support of enteral nutrition. In order to assist the maximal recovery of intestinal function, the nutritional status can be immediately changed and improved. In the early stage of gastrointestinal surgery, enteral nutrition support stapler technology is safe, simple and reliable. It plays a very important role in the success of low and middle rectal cancer surgery and has great significance in clinical application.