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目的:探讨全直肠系膜切除术与双吻合器技术应用于低位直肠癌保肛术的疗效。方法:回顾性分析68例应用全直肠系膜切除术与双吻合器技术行低位直肠癌保肛术患者的临床资料。结果:术中直肠闭合,结直肠吻合顺利,无手术死亡病例。术后发生吻合口漏4例,吻合口狭窄5例,36例发生直肠癌前切除后综合征,均经对症治疗后痊愈。术后62例随访1~3 a,吻合口局部复发5例,肿瘤肝转移3例。结论:全直肠系膜切除术、双吻合器技术可提高低位直肠癌患者保肛率及远期生存率,改善生活质量,局部复发及并发症发生率低,安全有效。
Objective: To investigate the effect of total mesorectal excision and double stapling technique in anus-preserving surgery of low rectal cancer. Methods: The clinical data of 68 patients undergoing total anorectal surgery for rectal cancer with total mesorectal excision and double stapling technique were retrospectively analyzed. Results: Intraoperative rectum closed, colorectal anastomosis smoothly, no surgical deaths. Postoperative anastomotic leakage in 4 cases, anastomotic stenosis in 5 cases, 36 cases of pre-rectal cancer after resection syndrome, were cured after symptomatic treatment. Sixty-two patients were followed up for 1-3 years, 5 cases had local anastomotic recurrence and 3 cases had liver metastasis. Conclusion: Total mesorectal excision and double stapling technique can improve the anus retention rate and long-term survival of patients with low rectal cancer, improve the quality of life, reduce the incidence of local recurrence and complications, and be safe and effective.