Applicafion of curved cutter stapler in anterior resection of ultra-low rectal cancer
10.3760/cma.j.issn.1671-0274.2007.z1.009
- VernacularTitle:深部弧形切割吻合器在低位和超低位直肠癌手术的应用价值
- Author:
Xiao-Dong WANG
1
;
Li LI
;
Ye SHU
;
Yong-Yang YU
;
Zong-Guang ZHOU
Author Information
1. 四川大学华西医院
- Keywords:
Rectal cancer;
Stapler technique;
Curved cutting stapler
- From:
Chinese Journal of Gastrointestinal Surgery
2007;10(z1):30-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To research curved cutter stapler in anterior resection of ultra-low rectal cancer.Methods From Oct 2005 to March 2006，there were 52 patients diagnosed as low/ultra-low rectal cancer，with distance between dentate line 1～3cm were 18 cases，3～5 cln 27 cases and 5～7 cm were 7 cases.The age was 28～79(average 66.3)year.The body massindex(BMI)was 18-26(average 23.4). In the low anterior resection 2 cases， ultra-low anterior resection and colo-anal anastomosis were 50 cases.The distal ends of rectum were cut and close by curved cutting stapler,some with reverse double-stapling technique(DST)27 cases.Results There were 27 cases in standard total mesorectal excision, and others were in mini-incision total nlesorectal excision(TME) with average incision length 8.2 cm.All patients finished anastomosis successfully,without cancer residual in incisal edges.There were no recent complications.Follow up in 6～12 months，there were no local reemxent.Conclusion Application of curved cutter stapler contributed to faster and easier progression of cutting and stapling.It was good for less pollution， safer distal-end incisal edge， wider used and so on，being important instrument for mini-invasive or mini-incision rectal radical excision.
