摘要
Abstract
Objective To investigate the clinical application and ef icacy of anus-preserving radical resection in treatment of patients with lower rectal carcinoma. Methods Clinical data of anus-preserving radical resection,which were performed on 48 cases with lower rectal carcinoma by peforming anus-preserving radical resection during Mar,2004 through May,2007,were retrospectively analyzed.To evaluate the ef icacy of anus-preserving radical resection by analyzing the application ,ef icacy,complication relapse rate and survival rate of 1year,3years and 5 years.And to compare the treatment ef ect between the patients receiving anus-preserving radical resection and traditional Miles. Results 48 cases who received anus-preserving radical resection were al successful y once,no patient died during operation.Postoperative anastomosis fistula and stenosis occur ed in 3 cases,and 4 cases respectively, while postoperative anastomotic bleeding occurred in 2 cases.Al complication were cured by conservative treatment. 9 cases relapsed,6 cases of them occur ed in anastomosis and 3 others occur ed in pelvic cavity. To conduct a long-term fol ow-up and the survival rate of one-year,three years and five years were 91.2%,80.9%and 66.2%. Compared with the traditional miles ,the patients keep defecation function and improve postoperative quality of life,meanwhile,they it has no significant dif erence in relapse rate and survival rate. Conclusion The application of? stapling device to conduct anus-preserving radical resection in treatment of patients with lower rectal carcinoma has many advantages ,for example:high success rate ,bet er ef icacy,less complication and high postoperative quality of life.Compared with the traditional miles ,the patients have significant advantages in postoperative quality of life,at the same time it did not increase the rate of relapse and reduce the survival rate. It deserves popularization in clinic.关键词
低位直肠癌/保肛根治术/吻合器Key words
Rectal carcinoma/Anus-preserving radical resection/Stapling device
