Rectal cancer nine cases of postoperative anastomotic leakage causes and treatment of.docVIP

 PAGE \* MERGEFORMAT 7 Rectal cancer nine cases of postoperative anastomotic leakage causes and treatment of [Keywords:] rectal cancer; anastomotic leakage; drainage Anastomotic leakage was low anus the more common complications after surgery, using double stapling technique line low anus after surgery the incidence of anastomotic leakage rate of 2.5% ~ 6.6%, while the approach anastomosis anastomotic leakage rate of 5% ~ 10% [1]. With the improvement of living standards, the incidence of colorectal cancer was significantly increased in recent years due to the introduction of the concept of TME surgery and clinical implementation of the application of double stapling and laparoscopic Radical resection of rectal cancer widely carried out, making it more low preservation of anal cancer patients, but the low rectal cancer after surgery the incidence of anastomotic leakage increased significantly after the occurrence of anastomotic leakage development of the disease has become more complicated and diverse. An object and method 1.1 Object 2000  03/2005  02 Gastrointestinal Surgery, Xijing Hospital, 625 cases of colorectal cancer patients were treated, of which comply with the conditions of low anus-preserving operation in patients with 412 cases (65.9%). Selected cases of tumors from the anal margin of 3 cm ~ 8 cm, were implemented TME technique of anterior resection of rectal cancer. All patients underwent preoperative colonoscopy and diagnosed as adenocarcinoma by pathology. preoperative 3 d-line full-flow non-residue diet and oral metronidazole, norfloxacin and vitamin K, the afternoon of 1 d of preoperative total parenteral fluid line of oral bowel preparation (elderly patients and patients with incomplete bowel obstruction oral paraffin oil and magnesium sulfate). all patients prior to surgery not to implement any anti-tumor treatment (including radiotherapy as well as chemotherapy). 1.2 Methods Anal drainage used for cutting a side hole of the mushr