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直肠中下段癌行直肠低位前切除术:直线型与圆形吻合器的应用

[Low anterior resection of the rectum with the linear and circular stapler in the treatment of carcinoma of the middle third of the rectum].

作者信息

Maksimović V, Druzijanić N

出版信息

Lijec Vjesn. 1989 Aug;111(8):286-90.

PMID:2811592
Abstract

Low anterior resection by linear (TA 55) and circular (EEA) stapler was done in eighteen patients with adenocarcinoma of the middle third of the rectum. One patient died of lung embolism after having underwent the surgery. The stercoral fistula was clinically and radiologically proven in only one of the surgically treated patients and it healed without medicament therapy. The protective proximal colostomy was not performed. Late functional results were satisfactory and none of the patients developed stenosis of the anastomosis. Two operated patients (Dukes' C) relapsed 12 and 18 months after the surgery.

摘要

对18例直肠中1/3腺癌患者采用直线型(TA 55)和圆形(EEA)吻合器进行低位前切除术。1例患者术后死于肺栓塞。仅1例手术治疗患者经临床和影像学证实发生粪瘘,未进行药物治疗即愈合。未行预防性近端结肠造口术。远期功能结果满意,无一例患者发生吻合口狭窄。2例手术患者(Dukes' C期)术后12个月和18个月复发。

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