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一种用于直肠肿物切除的新型外科吻合技术:一项回顾性分析。

A novel surgical stapling technique for rectal mass removal: a retrospective analysis.

作者信息

Swiderski Jen, Withrow Stephen

机构信息

Colorado State University Veterinary Medical Center, Cancer Center, Fort Collins, 80523, USA.

出版信息

J Am Anim Hosp Assoc. 2009 Mar-Apr;45(2):67-71. doi: 10.5326/0450067.

Abstract

Both benign and malignant rectal masses occur in dogs. The mainstay of treatment is surgical excision with adjuvant therapy based on histopathological diagnosis and completeness of removal. Location of the mass within the rectum helps dictate the approach used. This paper describes the use of a novel technique for removal of rectal masses involving the distal third of the rectum in seven dogs. To perform this technique, the rectum is prolapsed and stay sutures are placed to maintain prolapse. A thoracoabdominal stapling device is placed at the base of the mass with a minimum of 0.5- to 1-cm margins, and the mass is amputated. Mean time to veterinarian follow-up was 564 days, and no dog had recurrence of disease during this time.

摘要

犬类会出现良性和恶性直肠肿块。治疗的主要方法是手术切除,并根据组织病理学诊断和切除的完整性进行辅助治疗。肿块在直肠内的位置有助于确定所采用的手术方法。本文描述了一种用于切除7只犬直肠远端三分之一处肿块的新技术。要实施该技术,需将直肠脱出并放置留置缝线以维持脱出状态。将胸腹吻合器放置在肿块基部,边缘至少保留0.5至1厘米,然后切除肿块。兽医随访的平均时间为564天,在此期间没有犬只出现疾病复发。

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