Russello D, Di Stefano A, Succi L, Scala R, Puzzo L, Panebianco V, Guastella T, Latteri F
Istituto di I Clinica Chirurgica e Terapia Chirurgica, Università degli Studi di Catania.
Minerva Chir. 1994 Apr;49(4):253-7.
The major advantage offered by the "double stapling technique" in the treatment of low rectum cancers is sphincter preservation while respecting oncological criteria of radicality. The authors report their experience in surgical treatment of rectal neoplasms, considering a 24 patient group observed between 1989 and 1991, when new staplers were available in Italy. They also present primary results obtained with modified Knight-Griffen technique evaluating a series of 10 patients with rectal cancers placed between 5 and 10 cm from the anal verge. The authors describe surgical procedures and, analyse the complication rate, report a 10% anastomotic leak with no clinical stenosis and 20% relapses. Showing a 2-year follow-up data, a 61.1% surviving actually free of disease in the all 24-patient group is referred. The authors conclude that double stapling technique, while safe and effective, should be always performed accordingly to oncological radicality, reminding that the aim of surgery is the treatment of cancer and sphincter saving should be considered secondary.
“双吻合器技术”在低位直肠癌治疗中的主要优势在于，在遵循肿瘤根治性标准的同时能够保留括约肌。作者报告了他们在直肠肿瘤手术治疗方面的经验，研究对象为1989年至1991年间意大利有新型吻合器时观察的24例患者。他们还展示了采用改良Knight-Griffen技术对一系列10例距肛缘5至10厘米的直肠癌患者取得的初步结果。作者描述了手术过程，分析了并发症发生率，报告吻合口漏发生率为10%，无临床狭窄，复发率为20%。展示了2年随访数据，提及在整个24例患者组中实际无病存活的比例为61.1%。作者得出结论，双吻合器技术虽然安全有效，但应始终按照肿瘤根治性原则进行操作，并提醒手术的目的是治疗癌症，保留括约肌应视为次要目标。
