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：

全直腸系膜切除術; 雙吻合器技術; 低位直腸癌; 療效

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的:探討全直腸系膜切除術(total mesorectal excision,TME)結合雙吻合器(DST)治療低位直腸癌的效果及臨床價值。方法:對我院85 例低位直腸癌患者采用 TME和DST聯合治療的方法,觀察治療后的排便功能及療效.結果:所有患者手術均順利,無吻合口瘺和狹窄,切割環均完整,無手術閉合失敗及手術死亡。隨訪時間6 個月～5年,局部復發率4例(4.7%)。排便控制功能:優75 例(88.2%),良9 例(10.6%),差1 例(1.2%)。結論:TME和 DST聯用治療低位直腸癌,保肛效果滿意,并發癥少,提高了患者的生存質量,值得臨床推廣。

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

1.	郁寶銘.當前對低位直腸癌的治療對策[J ]. 中華胃腸外科雜志,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,楊祖立. 直腸癌外科治療的現代解剖學基礎[J].中國實用外科雜志,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.	邱輝中.雙吻合器技術在直腸癌中的應用[J]. 中國實用外科雜志,2003,23 (1):47-49.
7.	許玉成,莊競,王成虎,等.雙吻合器保肛術后吻合口瘺的預防[J].中國實用外科雜志, 2005,21 (9): 538-539.
8.	曾慶東, 呂麗紅, 王磊. 直腸系膜全切除加雙吻合器在低位直腸癌中的應用[J]. 中國普通外科雜志,2007,11 (11):647-649.

1. 郁寶銘.當前對低位直腸癌的治療對策[J ]. 中華胃腸外科雜志,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,楊祖立. 直腸癌外科治療的現代解剖學基礎[J].中國實用外科雜志,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. 邱輝中.雙吻合器技術在直腸癌中的應用[J]. 中國實用外科雜志,2003,23 (1):47-49.
7. 許玉成,莊競,王成虎,等.雙吻合器保肛術后吻合口瘺的預防[J].中國實用外科雜志, 2005,21 (9): 538-539.
8. 曾慶東, 呂麗紅, 王磊. 直腸系膜全切除加雙吻合器在低位直腸癌中的應用[J]. 中國普通外科雜志,2007,11 (11):647-649.

West China Medical Journal

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

Abstract Full text Figures/Tables Video References Cited by

Format

Content