Belli L, Beati C A, Frangi M, Aseni P, Rondinara G F
Department of Surgery, Pizzamiglio II, Niguarda Hospital, Milan, Italy.
Br J Surg. 1988 May;75(5):422-4. doi: 10.1002/bjs.1800750509.
The mortality, morbidity and long-term survival in stapled anterior resection for rectal carcinoma has been analysed in 74 patients. Twelve patients were Dukes' A, 26 B, 29 C, and 7 'D' (submitted to hepatic resection). Operative mortality rate was 3 per cent. Three patients (4 per cent) had clinical anastomotic leakage. Two patients (3 per cent) developed anastomotic stenosis. Local recurrence was present in three patients (4 per cent). The mean (+/- s.e.m.) overall survival rate at 5 years was 67 +/- 6 per cent. There was no significant difference in survival between Dukes' B and C (70 +/- 10 per cent versus 59 +/- 10 per cent, P = 0.209). Patients with absent local spread had a significantly better 5-year survival rate than those with positive local lymph nodes (80 +/- 7 per cent versus 54 +/- 9 per cent, P less than 0.01). The present results confirm the satisfactory use of the EEA stapler device for colorectal anastomoses in rectal cancer and in patients with resectable liver metastasis.
对74例直肠癌吻合器前切除术患者的死亡率、发病率和长期生存率进行了分析。12例为Dukes'A期，26例为B期，29例为C期，7例为D期（接受肝切除术）。手术死亡率为3%。3例患者（4%）出现临床吻合口漏。2例患者（3%）发生吻合口狭窄。3例患者（4%）出现局部复发。5年时的平均（±标准误）总生存率为67±6%。Dukes'B期和C期患者的生存率无显著差异（70±10%对59±10%，P = 0.209）。无局部扩散的患者5年生存率明显高于局部淋巴结阳性的患者（80±7%对54±9%，P<0.01）。目前的结果证实了EEA吻合器装置在直肠癌和可切除肝转移患者的结直肠吻合术中的满意应用。
