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首页> 美国卫生研究院文献>Pakistan Journal of Medical Sciences >Prevention of anastomotic fistula formation after low-position Dixon Operation
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Prevention of anastomotic fistula formation after low-position Dixon Operation

机译：低位Dixon手术后预防吻合口瘘形成

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>Objective: This study aimed to investigate the main points of preventing anastomotic fistula formation after low-position Dixon operation. >Methods: From September 2004 to October 2007, our department continuously conducted 146 cases of low-position Dixon operations. The operation mode involved transabdominal radical resection based on total mesorectal excision for all cases. Except for tumor infiltration, one side of the pelvic vegetative nerve was maintained and ligations were conducted at the superior rectal artery root. Mesorectum at the anastomosis site was removed up to the tunica muscularis recti. The anastomotic stoma blood supply was good and had no tension. An anal tube was inserted when the anastomotic stoma was within 3 cm away from the anal margin. For all cases, a presacral drainage tube was placed via the perineal position. >Results: For all 146 cases, no anastomotic leakage occurred and the post-operative complications included two cases of anastomotic bleeding, three cases of anastomotic stenoses, 48 cases of increased defecation (4-6 times of defecation daily), 34 cases of anal irritation symptoms, and 6 cases of poor loose stool control capacities. >Conclusion: Ensuring enough blood supply for the anastomotic bowel on the two sides, eliminating tension and accurate anastomosis at the anastomosis site could be effective measures to prevent anastomotic fistula in the low position anus preserving surgery of colorectal cancer.
机译：>目的：本研究旨在探讨预防低位Dixon手术后形成吻合口瘘的要点。 >方法：从2004年9月到2007年10月，我们部门连续进行了146例低位Dixon手术。所有病例均以全直肠系膜切除为基础，经腹根治术。除肿瘤浸润外，保持盆腔植物神经的一侧，并在直肠上动脉根部进行结扎。吻合处的直肠系膜切除至直肌膜。吻合口造口血供良好，无张力。当吻合口距肛门边缘3 cm以内时，插入肛门管。对于所有情况，均通过会阴位置放置s前引流管。 >结果： 146例均未发生吻合口漏，术后并发症包括2例吻合口出血，3例吻合口狭窄，48例排便增加（每天排便4-6次） ），34例肛门刺激症状和6例稀便控制能力差。 >结论：确保两侧吻合肠有足够的血液供应，消除张力并在吻合部位准确吻合可能是预防低位肛门吻合口瘘的有效措施，以维持结直肠癌的手术。

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