Li J J, Li D W, Yang W, Mo D C, Sun D, Peng L
Department of General Surgery, Tungwah Hospital, Sun Yet-sen University, Dongguan, Guangdong 523110, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Jun 25;23(6):602-605. doi: 10.3760/cma.j.cn.441530-20200228-00094.
To observe preventive effect of intestinal stent against anastomotic leakage after rectal cancer operation. A retrospective cohort study was carried out. Clinical data of 107 patients with low rectal cancer undergoing laparoscopic radical resection from January 2015 to August 2019 were retrospectively analyzed. Intestinal stent was placed intraoperatively in 48 cases and was not placed in 59 cases. Postoperative Wexner score for anal function and incidence of anastomotic leakage were compared between patients with and without intstinal stent. There was no significant differences in age, distance between tumor and the anal verge, operative time and postoperative Wexner score for anal function between the two groups (all >0.05). After a month of follow-up, the incidence of anastomotic leakage was 16.9% (10/59) in the non-stent group, while no anastomotic leakage was found in the stent group (=0.002). Placement of intestinal stent can effectively prevent anastomotic leakage after low rectal cancer surgery.
观察肠道支架对直肠癌术后吻合口漏的预防效果。进行了一项回顾性队列研究。回顾性分析了2015年1月至2019年8月期间107例行腹腔镜根治性切除术的低位直肠癌患者的临床资料。48例术中放置肠道支架，59例未放置。比较放置和未放置肠道支架患者的术后肛门功能Wexner评分及吻合口漏发生率。两组患者的年龄、肿瘤距肛缘距离、手术时间及术后肛门功能Wexner评分比较，差异均无统计学意义（均>0.05）。随访1个月后，非支架组吻合口漏发生率为16.9%（10/59），而支架组未发现吻合口漏（P=0.002）。放置肠道支架可有效预防低位直肠癌术后吻合口漏。
