应用一次性钛钉端端吻合器对低位直肠癌行保肛手术的体会

• 作 者: 陈锦先 王少华 钟鸣 徐庆 徐曙光 王平治
• 机 构: 上海第二医科大学附属仁济医院
• 出 处: 腹部外科
• 发表日期: 1999年01期
• 关键词: 端端吻合器 保肛手术 钛钉 结直肠吻合 肛门口 吻合口瘘 远端肠管 结肠造口 横结肠造瘘 胃肠道手术

近十年来，一次性钛钉端端吻合器在国内外胃肠道手术中应用越来越广，尤其对低位超低位的结直肠吻合，使用此吻合器保证了手术成功率，减少了术后并发症，缩短了手术时间。本文就１９９２～１９９６年对６２例低位直肠癌患者应用一次性钛钉端端吻合器，行保肛手术，取得了较为满意的效果，使一部分低位直肠癌患者避免了永久性结肠造口，改善了生理功能、提高了生活质量。结合复习有关文献及临床经验、体会作一介绍。

In the past ten years, disposable titanium nail end-to-end staplers have been used more and more widely in gastrointestinal surgery at home and abroad, especially for low and ultralow colorectal anastomosis. The use of this stapler ensures the success rate of surgery and reduces postoperative Complications shorten the operation time. In this paper, a one-time titanium staple end-to-end anastomosis was applied to 62 patients with low rectal cancer from 1992 to 1996, and satisfactory results were obtained. This led to the avoidance of permanent colostomy in patients with low rectal cancer. The physiological function improves the quality of life. Combine review of relevant literature and clinical experience and experience for an introduction.