中国普通外科杂志2012，Vol.21Issue(4)：399-402,4.
国产一次性双吻合器在中低位直肠癌保肛手术中的应用
Application of domestic disposable double stapling device in sphincter-preserving operation for mid/low rectal cancer
廖健南 1邱磊 1谢沛标 1周爱华 1钟育波1
作者信息
- 1. 南方医科大学附属佛山医院(广东省佛山市第二人民医院)普外三科,广东佛山528000
- 折叠
摘要
Abstract
Objective: To evaluate the safety and utility of domestic disposable double stapling device in anus-preservingoperation for mid/low rectal cancer.Methods: The clinical data of 63 patients with mid/low rectal cancer undergoing anus-preserving operationfrom May 2005 to December 2010 by using domestic disposable double stapling device were retrospectivelyanalyzed.Results: Of the patients, 40 were male and 23 were female. The average age was 64.5±1.7 (34-85) years, themedian distance between the tumor lower edge and anal verge was 6.0 (4.0-10.0) cm and the median tumorsize was 4.0 (1.3-11.0) cm. The TNM stages were stage I (9 cases, 14.3%), stage II (17 cases, 27.0%), stage HI(28 cases, 44.4%) and stage IV (9 cases, 14.3%). All the 63 patients underwent a single anastomosis withoutreinforcement. All staple lines were intact and complete without breakdown. Complications occurred in 6cases after surgery (2 cases of anastomotic leakage, 1 case each of anastomotic stricture, wound infection,pneumonitis and gastric retention, respectively) and there was no perioperative death. Fifty-two patients(82.5%) were followed up with a median period of 32 (7-67) months, during which time, 13 cases died fromdistant metastases. The 3- and 5-year survival rate was 82.7% and 62.3%, respectively.Conclusion: Domestic disposable double stapling device is safe and feasible for sphincter-preservingoperation of mid/low rectal cancer.关键词
直肠肿瘤/外科学/吻合术,外科/一次性设备Key words
Rectal Neoplasms/surg/ Anastomosis, Surgical/ Disposable Equipment分类
医药卫生引用本文复制引用
廖健南,邱磊,谢沛标,周爱华,钟育波..国产一次性双吻合器在中低位直肠癌保肛手术中的应用[J].中国普通外科杂志,2012,21(4):399-402,4.
