Wu L Y, Han Y J, Li Y H, Wang X G, An S L
Department of Surgery, Fourth People's Hospital, Qingdao.
Chin Med J (Engl). 1993 Jul;106(7):552-5.
Using self-made special supporting tube, coloanal anastomosis was performed by intra-anal ligation for radical surgery in 48 patients with low rectal carcinoma. The anastomoses were completed without suturing, and the results were quite satisfactory. Follow-up after operation revealed that the bowel movement and the sphincteric function were excellent in all patients. The anal canal and the anal sphincter were all kept intact and abdominal colostomy was not required for decompression. Anastomosis without suturing, least trauma, and short operation time made blood transfusion unnecessary during the operation. This technique is actually derived from Park's operation, and is considered a promising procedure for coloanal anastomosis in the radical surgery for low rectal carcinoma.
采用自制的特殊支撑管，对48例低位直肠癌患者行根治性手术经肛门内结扎行结肠肛管吻合术。吻合均未缝合，效果相当满意。术后随访显示所有患者排便及括约肌功能良好。肛管及肛门括约肌均保持完整，无需行腹部结肠造口减压。无需缝合的吻合术创伤最小，手术时间短，术中无需输血。该技术实际上源于帕克手术，被认为是低位直肠癌根治性手术中结肠肛管吻合的一种有前景的术式。
