Application of TME Combined with Dual Stapler Technique in 85 Cases With Low Rectal Cancer_West China Medical Journal

Authors：

LI Defu , ZHOU Ji , Xu Guohong , et al.

Department of General Surgery, People,s Hospital of Meishan City, Meishan Sichuan 620010,China;

Corresponding author：

Keywords：

全直肠系膜切除术; 双吻合器技术; 低位直肠癌; 疗效

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目的:探讨全直肠系膜切除术(total mesorectal excision,TME)结合双吻合器(DST)治疗低位直肠癌的效果及临床价值。方法:对我院85 例低位直肠癌患者采用 TME和DST联合治疗的方法,观察治疗后的排便功能及疗效.结果:所有患者手术均顺利,无吻合口瘘和狭窄,切割环均完整,无手术闭合失败及手术死亡。随访时间6 个月～5年,局部复发率4例(4.7%)。排便控制功能:优75 例(88.2%),良9 例(10.6%),差1 例(1.2%)。结论:TME和 DST联用治疗低位直肠癌,保肛效果满意,并发症少,提高了患者的生存质量,值得临床推广。

Citation： LI Defu,ZHOU Ji,Xu Guohong,et al.. Application of TME Combined with Dual Stapler Technique in 85 Cases With Low Rectal Cancer. West China Medical Journal, 2009, 24(8): 1946-1948. doi: Copy

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7.	许玉成,庄竞,王成虎,等.双吻合器保肛术后吻合口瘘的预防[J].中国实用外科杂志, 2005,21 (9): 538-539.
8.	曾庆东, 吕丽红, 王磊. 直肠系膜全切除加双吻合器在低位直肠癌中的应用[J]. 中国普通外科杂志,2007,11 (11):647-649.

1. 郁宝铭.当前对低位直肠癌的治疗对策[J ]. 中华胃肠外科杂志,2004,7 (2):87-89.
2. HEALD R J, CHIR M, KARANJIA N S. Results of radical surgery for rectal cancer[J]. World J Surg,1992,16:848.
3. 汪建平,杨祖立. 直肠癌外科治疗的现代解剖学基础[J].中国实用外科杂志,2002,22:365.
4. ENKER WE. Total mesorectal excision the new golden standard of surgery for rectal cancer[J]. Ann Med,1997,29 (2):127-133.
5. KNIGHT CD, GRIFFEN FD. An improved technique for low anteriorresetion of the rectum using the EEAstapler[J ]. Surgery, 1980, 88(5):710-714.
6. 邱辉中.双吻合器技术在直肠癌中的应用[J]. 中国实用外科杂志,2003,23 (1):47-49.
7. 许玉成,庄竞,王成虎,等.双吻合器保肛术后吻合口瘘的预防[J].中国实用外科杂志, 2005,21 (9): 538-539.
8. 曾庆东, 吕丽红, 王磊. 直肠系膜全切除加双吻合器在低位直肠癌中的应用[J]. 中国普通外科杂志,2007,11 (11):647-649.

West China Medical Journal

Application of TME Combined with Dual Stapler Technique in 85 Cases With Low Rectal Cancer

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