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为了解直肠癌前切除术及后续治疗对吻合口漏和吻合口狭窄发生的影响,Kumar A等人回顾性分析了108例接受直肠癌前切除术或低位直肠癌前切除术的患者,其中男68例,女40列。肿瘤距肛缘平均8 cm。其中60例手工吻合,48例使用吻合器吻合。术后16例发生吻合口漏。同时发现,无论是否接受袢式横结肠造口,患者吻合口漏发生率相近(13.4%比16.7%)。在中位随访时间8个月(3～20个月)内发生吻合口狭窄的19例患者中,15例成功进行肛门扩张术。经多因素分
To understand the effect of anterior resection and follow-up of anastomosis on anastomotic leakage and anastomotic stenosis, Kumar A et al retrospectively analyzed 108 patients who underwent anterior resection of the rectum or anterior resection of the lower rectal cancer, in which male 68 cases, 40 women. The average tumor from anal verge 8 cm. 60 cases of manual anastomosis, 48 cases of stapling anastomosis. Anastomotic leakage occurred in 16 cases after operation. At the same time, patients with similar transverse colostomy regardless of whether to accept or accept, the incidence of anastomotic leakage was similar (13.4% vs. 16.7%). Of the 19 patients who had anastomotic stenosis within a median follow-up of 8 months (range, 3 to 20 months), 15 had successful anal dilatation. After many factors