Clinical Analysis Of Anuspreservation Operation On Low Position Rectal Cancer Using Double Stapling Technique Combined With Total Mesorectal

Objective To clinical analysis of anuspreservation operation on low position rectal cancer using double stapling technique combined with total mesorectal .Method We study 68 patients after anuspreservation operation on low position rectal cancer using double stapling technique combined with total mesorectal of China-Japan Union Hospital between January 2000 and March 2004. Results In 149 cases of application the technique's line rectum cancer anuspreservation operation ,all cases aren't dead. The tumour of all cases locate below peritoneum reflexion ,It is 3.0-10.0 centimeter at a distance from the edge of anus ,average distance is 2.4(2.0-5.0)centimeter from the carcinoma to the edge of excision rectum, the nearest distance is 2.0 centimeter from the edge of excision rectum to anastomosis rectum . Clinical period: Dukes A 26 examples, Dukes B 22 examples, Dukes C 20 examples. Of them 1 example occur intestinal obstruction before the operation, in which the wall of the close intestine edema and thicker, the bowel dilate are seen ,among them the ring of excision is complete with stapling technique .Of 68 example with double stapling technique no one occur blooding of anastomosis rectum,peak of anastomosis is 3 cases( 4.41%),anastomosis stenosis is 1 case(1.47%), peivic cavity recurrence is 1 case(1.47%), intestinal obstruction is 1 case(1.47%),cut liquation is 9 cases(13.2%), phlebothtombosis is 1 case(1.47%). 40 cases occur defecate cacergasia manifest whose frequeacy of occurrence is inverse correlation of distance from anastomosis to anocutaneous line after operation.Conclusions The anuspreservation operation on low position rectal cancer using double stapling technique combined with total mesorectal be used asing a kind of forerunner can helping the surgeon smoothly completing the former skill operation difficultly with completing the knot rectum fit together the anuspreservation operation .To prevent portal vein thrombosis after portaazygous devascularization for portal hypertension, operation be careful, hemostats be unused or carefully used, Doppler ultrasonic examination to portal vein and correlative tests should be orderly checked and anticoagulation therapy be given to whose rate of portal thrombosis is high.