中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2007年
z1期
27-29
,共3页
尚俊清%周建农%关心%许发培%徐晓明
尚俊清%週建農%關心%許髮培%徐曉明
상준청%주건농%관심%허발배%서효명
直肠肿瘤%弧形切割吻合器%前切除术%Hartmann术
直腸腫瘤%弧形切割吻閤器%前切除術%Hartmann術
직장종류%호형절할문합기%전절제술%Hartmann술
Rectal neoplasms%Curved cutter stapler%Anterior resection%Hartmann's procedure
目的 探讨弧形切割吻合器在直肠癌前切除术中的应用价值.方法 回顾性分析2005年11月至2006年8月间收治的57例直肠癌应用弧形切割吻合器进行前切除的临床资料.其中行双重器械吻合前切除术51例;Hartmann术6例.结果 双重器械吻合前切除51例中超低位吻合41例(80.4%),术后均无局部复发;吻合口瘘1例(2.0%),吻合口出血3例(5.9%),直肠阴道瘘2例(22例女性患者,发生率9.1%).行Hartmann术6例,直肠切割吻合处平均距肛缘2.8 cm.结论 弧形切割吻合器应用于低位直肠癌的保肛手术中具有吻合口瘘发生率低的优点.
目的 探討弧形切割吻閤器在直腸癌前切除術中的應用價值.方法 迴顧性分析2005年11月至2006年8月間收治的57例直腸癌應用弧形切割吻閤器進行前切除的臨床資料.其中行雙重器械吻閤前切除術51例;Hartmann術6例.結果 雙重器械吻閤前切除51例中超低位吻閤41例(80.4%),術後均無跼部複髮;吻閤口瘺1例(2.0%),吻閤口齣血3例(5.9%),直腸陰道瘺2例(22例女性患者,髮生率9.1%).行Hartmann術6例,直腸切割吻閤處平均距肛緣2.8 cm.結論 弧形切割吻閤器應用于低位直腸癌的保肛手術中具有吻閤口瘺髮生率低的優點.
목적 탐토호형절할문합기재직장암전절제술중적응용개치.방법 회고성분석2005년11월지2006년8월간수치적57례직장암응용호형절할문합기진행전절제적림상자료.기중행쌍중기계문합전절제술51례;Hartmann술6례.결과 쌍중기계문합전절제51례중초저위문합41례(80.4%),술후균무국부복발;문합구루1례(2.0%),문합구출혈3례(5.9%),직장음도루2례(22례녀성환자,발생솔9.1%).행Hartmann술6례,직장절할문합처평균거항연2.8 cm.결론 호형절할문합기응용우저위직장암적보항수술중구유문합구루발생솔저적우점.
Objective To evaluate the application of curved cutter stapler(Contour TM)in the anterior resection of rectal cancer.Methods The clinical data of 57 patients of rectal cancer, who received anterior resection with the curved cutter stapler during the period between November 2005 and August 2006,were analyzed retrospectively.Of the 51 cases who received double stapling technique anterior resection.Of the 6 patients who underwent Hartmann procedure.Results Among above 51patients,41 patients(80.4%)were uhralow anastomosis and no local recurrence occurred.Anastomotic leakage was found in 1 patient,anastomotic bleeding occurred in 3 patients and rectovaginal fistula in 2.In the 6 patients who received Hartmann's procedure,the average distance from cutting and closing line to anal verge was 2.8 cm.Conclusion The ContourTm curved cutter stapler is superior in the anus-preserving surgery of lower rectal cancer when compared with linear stapler.