腹腔镜直肠癌前切除术（尤其是高位直肠癌）中预防吻合口漏的新吻合技术。
New Anastomosis Technique to Prevent Anastomotic Leakage in Laparoscopic Anterior Resection for Rectal Cancer, Especially Upper Rectal Cancer.
机构信息
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
出版信息
In Vivo. 2020 Nov-Dec;34(6):3533-3538. doi: 10.21873/invivo.12195.
BACKGROUND/AIM: Anastomotic leakage (AL) is a major problem in rectal cancer surgery. To prevent AL, we developed a side-to-side anastomosis technique using a circular stapler and termed it the circular side stapling technique (CST). We herein report the method and outcome of the CST.
PATIENTS AND METHODS
In this study, we analyzed 154 patients with stage 0 to III rectal cancer who underwent curative laparoscopic low anterior resection. Perioperative factors and complications were compared between the CST and usual double stapling technique (DST).
RESULTS
The CST was performed in 110 of the 154 patients. When comparing the outcomes of patients with upper rectal cancer. AL occurred in no patients in the CST group and in three patients in the DST group (p=0.011). The CST prevented AL in all patients with upper rectal cancer.
CONCLUSION
The CST is a safe and useful procedure in laparoscopic anterior resection. This technique can prevent AL, especially in patients with upper rectal cancer.
背景/目的：吻合口漏（AL）是直肠癌手术的一个主要问题。为了预防 AL，我们开发了一种使用圆形吻合器的侧侧吻合技术，并将其命名为圆形侧吻合技术（CST）。我们在此报告 CST 的方法和结果。
患者和方法
在这项研究中，我们分析了 154 例接受根治性腹腔镜低位前切除术的 0 期至 III 期直肠癌患者。比较了 CST 和常规双吻合器技术（DST）的围手术期因素和并发症。
结果
在 154 例患者中，110 例行 CST。当比较上直肠肿瘤患者的结果时，CST 组无患者发生 AL，DST 组有 3 例患者发生 AL（p=0.011）。CST 预防了所有上直肠肿瘤患者的 AL。
结论
CST 是腹腔镜前切除术的一种安全有效的方法。该技术可以预防 AL，尤其是在上直肠肿瘤患者中。
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