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结肠肛管吻合后的功能,由于丧失了直肠的贮便机能而受到损害。Lazorthes 等曾建议辅加一个结肠盲囊,试图改善这种情况。以往发表的3篇有关结肠盲囊—肛管吻合的报道,或通过 Park’s 经肛管方式,或采用经肛门括约肌方式手工缝合完成。作者介绍了一种应用钉书机式吻合器进行结肠胄囊—肛管之间的结肠肛管吻合新方法。病人取 Lloyd—Davies 位,下腹中线长切口。在肠系膜下动静脉起始部分离,充分游离降结肠和横结肠脾曲。直肠解剖至盆腔底。在肛管顶端应用 TA 55吻合器 U 型钉双排钉住,并且横断直肠。在乙状结肠与降结肠联接处应用 TA 55吻合器双排 U 型钉夹团,然后横断结肠,对折结肠成10 cm 长 J 字型,通过 J
The colonic anal anastomosis function is impaired by the loss of rectal storage function. Lazorthes et al. have suggested adding a colonic capsula to try to improve this condition. Three previously published reports of the colonic anastomosis of the colon, either through the Park’s transanal approach or by manual suturing through the anal sphincter. The authors introduced a new method for the colon anal canal anastomosis between the colonic hernia sac-anal canal using stapler type stapler. The patient received Lloyd-Davies and had a long incision in the midline of the lower abdomen. In the inferior mesenteric arteriovenous separation, free descending colon and transverse colon spleen. The rectum is dissected up to the pelvic floor. In the anal canal apposition TA 55 stapler U-nails are pinned in double rows and the rectum is transection. At the junction of the sigmoid colon and the descending colon, a TA 55 stapler was used to hold the U-nail in a double row, then the colon was transected and the colon was broken into a 10 cm long J shape.