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自动端端吻合器的应用大大改观了妇科恶性肿瘤手术治疗时附加的极低位结肠—直肠吻合术(吻合口距肛门距离<6cm)现况。在此基础上倡起的直肠结肠“J”型吻合更使本类患者的相关并发症人为减少。 作者报道了11例附以直肠结肠“J”型吻合术治疗的原发或继发妇科恶性肿瘤病例。10例行全盆脏器切除术,1例为因癌侵及直肠及乙状结肠系膜行广泛性肿瘤细胞减灭术的Ⅲ期卵巢癌患者。全部患者均采用Strasbourg——Baker氏“J”型结肠直肠吻合,直肠壶腹重建术。术前行盆腔放疗者,先期行远端结肠旷置造口,再行二期手术。术后8
The use of automatic end-to-end anastomosis has greatly changed the status of the extra-low col-rectal anastomosis (anastomotic distance <6 cm) when surgically treating gynecologic malignancies. On this basis, the enterocolonic “J” type anastomosis advocated by the patients will reduce the complications associated with this type of patient. The authors reported 11 cases of primary or secondary gynecologic malignancies treated with a “J” anastomosis of the colon. Ten patients underwent total pelvic organ resection, and one patient with stage III ovarian cancer who underwent extensive cytoreductive surgery for cancer invasion and rectal and sigmoid mesocolon. All patients were treated with Strasbourg-Baker’s “J” colorectal anastomosis and rectal ampulla reconstruction. Preoperative pelvic radiotherapy, the first line of distal colon stasis, and then two operations. Postoperative 8