CAJ | 학술논문

目的探讨应用弧形切割吻合器在超低位直肠癌保肛手术中应用的可行性.方法 2006年1-10月,对36例超低位直肠癌患者采用弧形切割吻合器(ContourTM),在全直肠系膜切除的基础上完成保肛手术.结果患者均成功完成了手术.术后病理证实,切缘均无肿瘤残留;无吻合口瘘、吻合口狭窄、局部复发.结论应用弧形切割吻合器行超低位直肠癌保肛手术,使双吻合器技术更加方便,扩大了超低位直肠癌保肛手术的适应证范围.
목적 탐토응용호형절할문합기재초저위직장암보항수술중응용적가행성.방법 2006년1-10월,대36례초저위직장암환자채용호형절할문합기(ContourTM),재전직장계막절제적기출상완성보항수술.결과 환자균성공완성료수술.술후병리증실,절연균무종류잔류;무문합구루、문합구협착、국부복발.결론 응용호형절할문합기행초저위직장암보항수술,사쌍문합기기술경가방편,확대료초저위직장암보항수술적괄응증범위.
Objective To assess the feasibility and efficacy of curved cutter stapler(Contour TM)in total mesorectal excixion with ultra low rectal cancer anal anus-preserving operation.Methods From January to October 2006，36 patients with ultra low rectal cancer fulfilled by anal preserving operation underwent total mesorectal excision with Contour TM. Results Fecal continences were preserved successfully in all patients.Postoperative biopsy of cutting margin was proved to be free of rectal malignant tumors. No anastomotic leakage or narrow and postoperative recurrences occurred in all patients. Conclusion Ultra low rectal cancer resection with Contour is a feasible， safe and convenient technique，which extends the indication range of anal sphincter preservation.