【摘要】 目的:评价全直肠系膜切除(TME)、双吻合器技术(DST)在中低位直肠癌保肛手术中的应用。方法:回顾性分析36例采用直肠全系膜切除、双吻合器行低位直肠癌前切除术患者临床资料。结果:术后发生吻合口漏2例,吻合口狭窄1例。术后随访1~2年,局部复发2例,远处转移和死亡2例。结论:中低位直肠癌全直肠系膜切除能降低局部复发,而双吻合器的应用能提高低位直肠癌的保肛率。更多还原

【Abstract】 Objective:To evaluated the values of both the total mesorectal excision(TME)and the double staping technique(DST in middle or low rectal carcinoma.Method: The author summarized 36 patients with low rectal carcinoma had undergone rectectomy with this technique.Results:The anastomotic leakage occurred in 2 patients,and anastomotic stricture occurred in 1 cases in this group.All patients were followed-up for 1 to 2 years.local recurrence occurred in 2 cases.distance metastases and death occurred in 2 patients.Conclusion: TME can decrease the rates of local recurrence in low rectal carcinoma,and the double stapling technique can increase the probability of anus reservation.更多还原