| 腹腔镜缝合术在直肠癌超低位吻合术中的应用 |
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| 引用本文： | 王敬文,韩兴华,王建.腹腔镜缝合术在直肠癌超低位吻合术中的应用[J].腹腔镜外科杂志,2008,13(6). |
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| 作者姓名： | 王敬文 韩兴华 王建 |
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| 作者单位： | 潍坊市益都中心医院,山东,潍坊,262500 |
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| 摘 要： | 目的:探讨腹腔镜缝合术在直肠癌超低位保肛治疗术中的应用及可行性。方法:按全直肠系膜切除术(total mesorectal excision,TME)原则,用腹腔镜对30例超低位直肠癌患者行TME超低位结肠、直肠(肛管)吻合术,其中用双吻合器(DST)手术17例,手工缝合直肠远端加吻合器手术13例。结果:手术均获成功,无中转开腹。平均手术时间双吻合器组190min(170～250min),缝合组270min(260～360min)。术中出血30～180ml,平均60ml;术后2d患者恢复胃肠功能并下床活动;平均住院11d(7～30d)。5例出现吻合口漏(DST组2例),均保守治愈。结论:腹腔镜缝合术用于直肠癌超低位吻合术是可行的。
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| 关 键 词： | 直肠肿瘤 腹腔镜术 全直肠系膜切除术 保肛手术 |
The application of laparoscopic suturing technique in ultra low colo-rectal (anal) anastomosis of ultra low rectal cancer |
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| WANG Jing-wen,HAN Xing-hua,WANG Jian.The application of laparoscopic suturing technique in ultra low colo-rectal (anal) anastomosis of ultra low rectal cancer[J].Journal of Laparoscopic Surgery,2008,13(6). |
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| Authors: | WANG Jing-wen HAN Xing-hua WANG Jian |
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| Affiliation: | WANG Jing-wen,HAN Xing-hua,WANG Jian.The Central Hospital of Yidu,Weifang 262500,China |
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| Abstract: | Objective:To investigate the application and feasibility of suturing technique under laparoscopy with anal sphincter preservation in the treatment of ultra low rectal cancer.Methods:Excision of the mesorectum and ultra low colo-rectal(anal) anastomosis were performed by laparoscopy in 30 patients with ultra low rectal cancer based on the concept of TME,17 patients with the double stapling technique(DST) and 13 patients with laparoscopic suturing technique.Results:Operations were performed successfully in 30... |
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| Keywords: | Rectal neoplasms Laparoscopy Total mesorectal excision Sphincter saving procedure |
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