直肠低位前切除术预防性造口临床应用的进展-东南大学学报医学版

直肠低位前切除术预防性造口临床应用的进展

单位：1. 东南大学医学院, 江苏南京 210009;
2. 东南大学附属中大医院普外科, 江苏南京 210009

分类号：R735.3

出版年·卷·期（页码）：2020·39·第三期（358-361）

摘要：

直肠癌是常见的恶性肿瘤,在全球范围内其发病率及死亡率逐年上升。直肠癌的主要治疗方法为手术治疗,而直肠低位前切除术(low anterior resection,LAR)也成为国内外普遍采用的一种标准的保肛术式。吻合口漏是LAR术后最常见、最严重的并发症之一,而术中行预防性造口可作为一个应对的方法。预防性造口在解决问题的同时也带来了一些问题,因此须根据患者的个体情况考虑是否行造口。对高吻合口漏风险患者行预防性造口已得到国内外认可,而对低危者是否行预防性造口尚存在争议。现就LAR预防性造口在临床中的应用情况作一综述。

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