关键词: 直肠癌, 锐达, 弧形切割吻合器, 全直肠系膜切除, 保肛手术

Abstract: 【Abstract】 Objective To explore Endo GIATM radial reload intelligent curved cutter stapleron laparoscopic retention anus operation in patients with low rectal cancer. Methods〓Fifty cases of rectal cancer patients were included in the study and underwent laparoscopic total mesorectal resection byusing radial reloads intelligent arc cutter stapler of the rectal stump cutting closure.[CCS 29 mm circular staplar,Johnson & Johnson Medical (China Ltd.)] from March 2014 to June 2015. Operative complication, defecation function and local recurrence were observedand recorded. Results〓All 50 patients finished surgery smoothly. The tumor size was 6.3±1.5 cm. The operation time was 173±18 min, including placed screw 18±4 min.The tumor size 6.3±1.5 cm,and the tumor from the dentate line was 5.5±0.7 cm. The hospitalization expenses was 47 796±2138 yuan. Of 50 cases,13 cases of ultra-low rectal cancer underwent preventive ileum fistulation. All cases had no anastomotic leakage, anastomotic stenosis, anastomotic bleeding, voiding dysfunction,.infection of incisional wound..The patients were followed up for 6-21 months. There were no anastomotic bleeding and anastomotic leakage..There were no local recurrence and distant metastasis during a median follow-up postoperatively..Conclusion...Application of Endo GIATM radial reload intelligent arc cutting stapler for low rectal cancer by laparoscopic sphincter preserving surgery is safe and effective, and placing the radial reloads has certain skills.

Key words: Rectal cancer, Endo GIATM Radial Reload, Curved cutter stapler, Total mesorectal excision, Anus-preserving operation