直肠系膜全切除在双吻合器低位前切除术中的意义

• 作者: 李东华 沈耀祥 王灏 郁宝铭 郑民华
• 来源期刊: 美国中华健康卫生杂志
• 学科: 医学
• 关键词: Rectal neoplasms Mesentery
• 年，卷（期）: 2002,（6）
• 所属期刊栏目: 论著
• 页码范围: 7-8
• 页数: 2页
• 分类号: R656
• 语种: 中文

摘要

Objective To elucidate the value of total mesorectal excision (TME) in low anteriorresection with double stapling technique. Methods During January 1993 to October 1998,306 cases ofrectal lesions were treated by total mesorectal excision in low anterior resection (LAR) with double sta-pling technique. Among the patients with rectal cancer, 235(78.86% ) were treated by low anterior resec-tion and 97 (41.28 % ) by ultralow anterior resection. Results No operative death was noted, and anasto-motic leakage occurred in 9(2.94%) patients. Ureter injury occurred in 2(0.65%) patients 32(10.46% ) patients suffered from anastornotic stenosis, 31mm diameter of stapler for 27( 12.68% ) patientsand 33mm diameter of stapler for 5 patients (5.38%). Local recurrence occurred in 20(6.71%) pa-tients:Dukes' B 4(2.33%) patients, Dukes' C 9 (12.5%) patients, and Dukes' D 7 (53.85%)pateints. Conclusions Total mesorectal excision can effectively reduce the local recurrence rate afterLAR with double stapling technique. Since the recurrence is closely related to the stage of the disease,early detection, early diagnosis and early treatment are extremely important.

作者信息

序号	姓名	单位	发文数	被引次数	H指数	G指数
1	郑民华	上海第二医科大学附属瑞金医院上海消化外科研究所	63	802	16.0	26.0
2	王灏	上海第二医科大学附属瑞金医院上海消化外科研究所	13	104	5.0	10.0
3	郁宝铭	上海第二医科大学附属瑞金医院上海消化外科研究所	98	1450	20.0	36.0
4	李东华	上海第二医科大学附属瑞金医院上海消化外科研究所	27	258	9.0	15.0
5	沈耀祥	上海第二医科大学附属瑞金医院上海消化外科研究所	3	42	2.0	3.0