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目的总结25例采用双吻合技术在低位直肠癌切除低位肠吻合应用体会。方法回顾性分析25例采用双吻合技术在低位直肠癌切除低位肠吻合应用情况。结果术后发生吻合口漏1例,发生率4%;盆腔感染1例,发生率4%;吻合口狭窄2例,发生率8%;出血1例,发生率4%。结论低位直肠癌切除采用吻合器行低位肠吻合方便,特别是解决了遇到肥胖或骨盆狭窄患者手工缝合困难的问题,使许多低位直肠癌患者得以保全肛门。但是此方法有一定的适应范围,其原则是必须在癌肿根治的基础上保留肛门,对部分中低段直肠癌患者(如低分化、癌肿侵犯广而深等)须行“挖肛术”较为安全。采用吻合器行低位肠吻合保留肛门者,要注意防止术后一些并发症,并予以及时治疗,避免带来不良后果。
Objective To summarize the experience of 25 cases undergoing double anastomosis in the treatment of low rectal cancer with low bowel anastomosis. Methods A retrospective analysis of 25 patients with double anastomosis techniques in the low rectal cancer resection of low intestinal anastomosis. Results Anastomotic leakage occurred in 1 case, the incidence rate was 4%. Pelvic infection in 1 case, the incidence rate was 4%. Anastomotic stenosis in 2 cases, the incidence rate was 8%. Bleeding was found in 1 case and the incidence rate was 4%. Conclusion Low resection of colorectal cancer using stapling low intestinal anastomosis convenient, in particular, to solve the problems encountered in manual or suture patients with obesity or pelvic stricture, so that many patients with low rectal cancer can be preserved anus. However, this method has a certain range of adaptation, the principle is that it is necessary to retain the anus on the basis of cancer radical, for some patients with low-grade rectal cancer (such as poor differentiation, cancer infiltration of broad and deep, etc.) to be “dig anal Surgery ”safer. The use of staplers low bowel anastomosis to retain the anus, should pay attention to prevent some complications after surgery, and be treated promptly to avoid adverse consequences.