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Combined application of ultrasonically activated scalpel and curved cutter stapler in ultra low anterior resection for low rectal cancer

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Author:
No author available
Journal Title:
WORLD CHINESE JOURNAL OF DIGESTOLOGY
Issue:
22
DOI:
10.3969/j.issn.1009-3079.2009.22.018
Key Word:
直肠癌超低前切除术;超声刀;弧形切割吻合器;手术效果

Abstract´╝Ü 目的: 探讨超声刀联合弧形切割吻合器在低位直肠癌超低前切除术中的应用效果.方法: 回顾性分析我院2005-07/2009-02收治的行直肠癌超低前切除术32例的临床资料. 其中, 采用超声刀联合弧形切割吻合器12例, 采用电刀联合线形吻合器20例. 观察2组患者的手术成功率、手术时间、术中出血量、术后前3 d引流量、术后恢复时间以及术后并发症的差异.结果: 超声刀联合弧形切割吻合器组较电刀联合线形吻合器组手术成功率显著提高( P<0.05), 而手术时间( U = 12.5, W = 90.5,P<0.05)、术中出血量( t = -4.968, P<0.05)、术后前3 d引流量( t = -6.507, P<0.05)、引流时间( t = -3.888, P<0.05)和恢复时间( U = 27.0, W =105.0, P<0.05)方面均显著减少.结论: 超声刀联合弧形切割吻合器在直肠癌超低前切除术中应用效果显著.

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