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《Journal of Digestive Surgery》 2006-05
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Application of helix Hydro-Jet in total mesorectal excision for rectal carcinoma

CHEN You-jiang, WEN Ming-bo, YAO Hong-bing, LI Rui, DING Xiang-fei, TANG Bin-hua, WU Yun-yang, ZHOU Kui-ping. Department of General Surgery, 181st Hospital of PLA, Guilin 541002, China  
Objective To evaluate the superiority of helix Hydro-Jet in total mesorectal excision (TME) for rectal carcinoma. Methods A total of 110 cases with rectal carcinoma were divided into two groups, both of which were treated with TME. Pelvic cavity was removed by using helix Hydro-Jet in one group but by using electrotome and routine method in the other one to compare the difference in aspects of operation time, blood loss, hospital stay, stomal leak, local recurrence rate and temporarily excretive function disorder between both groups. Results The data in both groups were processed with t test and Chi-square analysis. There was statistical difference in operation time, blood loss, local recurrence rate and temporarily excretive function disorder ( P 0.05) but no statistical difference in hospital stay and stomal leak in both groups ( P 0.05). Conclusions TME with helix Hydro-Jet has following advantages including clear visual field, little bleeding, entire excise of carcinoma, low local recurrence rate and without damaging autonomic nerves. TME with helix Hydro-Jet is fairly effective for decreasing postoperative temporary excretive function disorder.
【CateGory Index】: R735.37
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