Abdominal anterior resection of rectal cancer after the treatment of anastomotic leakage.docVIP

 PAGE \* MERGEFORMAT 5 Abdominal anterior resection of rectal cancer after the treatment of anastomotic leakage Paper Keywords: anterior resection of rectal cancer after abdominal surgery Abstract] means quite a lot of rectal cancer surgery, abdominal anterior resection for the current best surgical anus, but postoperative anastomotic leakage of its more common complications. The prevention and treatment of complications is to improve the efficacy of an important part. This report I am in Beijing Cancer Hospital, summed up the hospital during the study in January 2003 ~ December 2005 through the abdominal anterior resection of rectal cancer 729 cases, complicated by anastomotic leakage in 48 cases, incidence rate of 6.5%. 1 Data and methods 1.1 The object of study This group of rectal cancer after anterior resection of 729 cases of abdominal, complicated by anastomotic leakage, 48 cases were male and 36 cases, 12 females, aged 45 to 88 years old, with an average 65.8 years of age. The primary cancer from the anal margin of 6 cm ~ 8 cm were 37 cases (77%), 9 cm ~ 12 cm, 11 cases (23%). Adenocarcinoma in 41 cases (85.4%), mucinous adenocarcinoma in 7 cases (14.6%). 1.2 anastomosis TME surgery in strict accordance with the technical requirements are implemented, the whole group of patients were using stapling, stapling are imported Disposable stapler diameter 29 ~ 34mm. Bowel resection specimen, the flat cut ends well, such as the lower pole tumors less than 2cm away from the cutting edge of an immediate cut-side line is far more frozen section examination to confirm no residual cancer. 16 patients at the same time line of the transverse colon fistulization. Which four cases of diabetes mellitus and the age of 68 years of age, the other 12 cases because of incomplete intestinal obstruction caused by expansion of the proximal colon, edema and faeces deposition or fit are not satisfied. All patients had reconstruction of pelvic peritoneum, anastomotic pla