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总结应用双吻合器对低位直肠癌进行直肠前切除低位吻合本的临床使用价值。1993年1月~1996年12月间手术治疗直肠癌242例,其中低位直肠癌17之例(71.90%),采用双吻合器进行直肠前切除低位吻合术183例,有124例属低位直肠癌,占同期低位直肠癌的71.26%。门倒属超低位吻合,占全部低位直肠癌的35.06%,本组无手术死亡,吻合口漏7例(3.83%),吻合口狭窄21例(11.48%),局部复发8例(4.37%),结果表明低位直肠癌时应用双吻合器进行前切除术有利于提高保肛手术的质量,是安全、有效、可供选用的术式。
To summarize the clinical application value of low staple anastomosis for low rectal cancer with double stapler. From January 1993 to December 1996, 242 cases of rectal cancer were surgically treated, including 17 cases of low rectal cancer (71.90%). 183 cases of low rectal anastomosis were performed with a double stapler, and 124 cases were low. Rectal cancer accounts for 71.26% of low rectal cancer in the same period. The portal ultrasonography was consistent with ultralow blood pressure, accounting for 35.06% of all low rectal cancers. There were no operative deaths in this group, 7 anastomotic leaks (3.83%), 21 anastomotic stenosis (11.48%), local recurrence. In 8 cases (4.37%), the results showed that the use of double stapler for anterior resection during low rectal cancer was beneficial to improve the quality of sphincter preserving operation. It was a safe, effective, and available procedure.