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低位直肠癌低位前切除的合理性及技巧 被引量:4

THE RATIONALE AND SKILL IN LOW DIXON OPERATION FOR LOW RECTUM CANCER
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摘要 1992年7月至1996年8月对13例低位直肠癌施行低位Dixon术,其中属超低位吻合者8例,除2例使用EEA吻合器外,其余6例均经手法缝合获得成功。全组封无手术死亡和术后并发症,随访1年以上者8例,其中3例已超过3年,未发现复发或转移,排便功能基本良好。结果表明,低位直肠癌施行低位、超低位Dixon术是合理的、可行的。选择合适病例、注重手术技巧以及辅以必要综合治疗,是低位、超低位直肠前切除端端吻合术(Dixon术)取得成功的关键所在。 Low Dixon operations were performed in 13 low rectum cancer patients. Of these patients, super-low anastomosis were performed in 8 patients, in which. EEA anastamat was ap-plied in 2 patients, while the others were manually stitched successfully. None of them died during operation or had post operation complications. 8 cases had been followed up for more than one year, and 3 of them for more than 3 years. No recurrence or metastasis had been observed. The defecation function remained good. The result shows that low Dixon or super-low Dixon operation is rationale and feasible. Selection of suitable cases, paying special attention to the operation skill, and supported by other integrated treatments are the keys to success.
作者 卢崇亮
出处 《大肠肛门病外科杂志》 1997年第1期1-4,共4页 Journal of Coloproctological Surgery
关键词 低位直肠癌 切除 DIXON术 端端吻合术 排便功能 手术死亡 手术技巧 吻合器 随访 缝合 low rectum cancer low proctectomy (Dixon skill) complications
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