CAJ | 학술논문

吻合器的广泛应用使低位直肠癌手术的保肛率增加，但常规的结肠断端和直肠的端-端吻合术常常给一些患者带来排便过频等症状。应用结肠 J 型储袋术后可以形成结肠的逆蠕动从而减少了术后排便的次数而不会造成新的直肠排便困难。J 型储袋术的另一个优点是吻合并发症的低发生率。比起端-端吻合术，血运更好的吻合技术端-侧吻合术更受到青睐。结肠储袋术在常规开腹手术和肠镜直肠癌的手术中安全并且可以有效提高肠道功能。
문합기적엄범응용사저위직장암수술적보항솔증가，단상규적결장단단화직장적단-단문합술상상급일사환자대래배편과빈등증상。응용결장 J 형저대술후가이형성결장적역연동종이감소료술후배편적차수이불회조성신적직장배편곤난。J 형저대술적령일개우점시문합병발증적저발생솔。비기단-단문합술，혈운경호적문합기술단-측문합술경수도청래。결장저대술재상규개복수술화장경직장암적수술중안전병차가이유효제고장도공능。
The widesPread usage of staPlar increas the number of APR. eowever after a direct(straight)anastomosis of the colon to the distal rectum/ anus,some Patients have more bowel movements. Construction of a colonic J - Pouch is likely to cause some reversed Peristalsis which imProves PostoPerative bowel frequency without causing neo - rectum evacuation Problems. An additional advantage of the colonic J - Pouch - anal anastomosis is the lower risk of anasto-motic comPlications. A more vascularized side - toend(colonic J - Pouch - anal)anastomosis is likely to heal better than an end - to - end(straight)anastomosis. Restorative surgery for rectal cancer can be safely and effectively Per-formed to imProve bowel function.