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目的探讨支撑吻合管在低位直肠癌全直肠系膜切除(TME)基础上行结肠-直肠/肛管吻合的应用。方法155例低位直肠癌TME术后,应用支撑吻合管经肛门行结肠-直肠/肛管吻合进行消化道重建。结果本组155例无手术死亡及术中严重并发症,术中病理检查无残端癌;术后肛周盆腔感染2例(1.29%),吻合口漏3例(1.94%),吻合口出血5例(3.23%),吻合口狭窄4例(2.58%)。寿命表法计算5年生存率和局部复发率分别为78.06%(121/155)及6.45%(10/155)。手术后3个月排便功能的优良率为82.58%。结论低位直肠癌TME术后应用支撑吻合管行结肠-直肠/肛管吻合是安全可行的。
Objective To investigate the application of anastomotic support tube for colorectal / anal anastomosis based on total mesorectal excision (TME) of low rectal cancer. Methods 155 cases of low rectal cancer after TME surgery, the application of support anastomosis through the anus line of colon - rectal / anal anastomosis of the digestive tract reconstruction. Results There were 155 cases without surgical death and severe intraoperative complications in this group. There was no stump cancer in the pathological examination during the operation. Perianal pelvic infection in 2 cases (1.29%), anastomotic leak in 3 cases (1.94%), anastomotic bleeding 5 cases (3.23%), anastomotic stenosis in 4 cases (2.58%). The 5-year survival and local recurrence rates calculated by the life table method were 78.06% (121/155) and 6.45% (10/155), respectively. The excellent and good rate of defecation function at 3 months after operation was 82.58%. Conclusion It is safe and feasible to apply the anastomosis tube to the colon-rectum / anal anastomosis after low rectal cancer TME.