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目的:评价全直肠系膜切除、双吻合器技术在低位直肠癌保肛手术中的应用。方法:回顾性分析162例采用直肠全系膜切除、双吻合器行低位直肠癌前切除术患者的临床资料。结果:术后发生吻合口漏6例(3.7%),吻合口狭窄3例(1.9%),吻合口出血2例(1.2%)。术后随访6个月~7年,局部复发11例(6.79%)。结论:低位直肠癌全直肠系膜切除能降低局部复发,而双吻合器的应用能提高低位直肠癌的保肛率。
OBJECTIVE: To evaluate the application of total mesorectal excision and double stapling technique in anus-preserving surgery for low rectal cancer. Methods: The clinical data of 162 patients undergoing rectal total mesorectal excision and double stapler for low rectal cancer anterior resection were retrospectively analyzed. Results: Postoperative anastomotic leakage occurred in 6 cases (3.7%), anastomotic stricture in 3 cases (1.9%), and anastomotic bleeding in 2 cases (1.2%). After 6 months to 7 years of follow-up, local recurrence occurred in 11 cases (6.79%). Conclusion: The total mesorectal excision of low rectal cancer can reduce the local recurrence, and the application of double stapling device can increase the sphincter preservation rate of low rectal cancer.