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目的 :探讨双吻合器在低位直肠癌手术治疗中应用的适应证及并发症的预防。方法 :回顾性分析 1997年 11月至 2 0 0 0年 11间采用双吻合器治疗的低位直肠癌 146例的疗效 ,复发情况及并发症的发生与预防情况。结果 :146例低位直肠癌应用双吻合器进行 Dixon手术的效果良好 ,仅 2例局部复发 ,发生吻合口漏 2例 (1.4% ) ,吻合口狭窄 8例 (5 .4% ) ,术后早期吻合口大出血 4例 (2 .7% )。结论 :双吻合器的应用可以扩大 Dixon手术适应证的范围 ,但必须严格掌握根治原则及无瘤原则 ,否则易招致失败 ,在应用过程中 ,必须注意吻合口漏及吻合口狭窄的预防 ,尤其罕见的术后吻合口大出血更应引起重视
Objective : To explore the indications and prevention of complications of double stapling device in the surgical treatment of low rectal cancer. METHODS: Retrospective analysis was performed on the efficacy, recurrence, and occurrence and prevention of complications in 146 cases of low rectal cancer treated with double stapler between November 1997 and 2000. RESULTS: Dixon was performed successfully in 146 patients with low rectal cancer with double stapling technique. Only 2 cases had local recurrence, anastomotic leakage occurred in 2 cases (1.4%), and anastomotic stricture occurred in 8 cases (5.4%). Anastomotic bleeding occurred in 4 patients (2.7%). Conclusion: The application of double stapling instruments can expand the scope of indications for Dixon surgery, but it is necessary to strictly grasp the principle of cure and principle of no tumor. Otherwise, it will easily lead to failure. During the application process, attention must be paid to the prevention of anastomotic leakage and anastomotic stricture, especially Rare Postoperative Anastomotic Hemorrhage Should Pay More Attention to It