Mokros W
Chirurgische Klinik, Krankenhaus Altstadt des Städtischen Klinikums Magdeburg, Germany.
Zentralbl Chir. 2001 Dec;126(12):1005-8. doi: 10.1055/s-2001-19656.
1,015 Valtrac-anastomoses in 876 patients were performed in the Surgical Department of "Städtisches Klinikum - Krankenhaus Altstadt Magdeburg" from June 1991 until June 2000. The registration of data was done prospectively, the mean age of all patients was 62.1 years, the youngest patient was 22 and the oldest 94 years old. In 88 % of all cases patients suffered from malignant and in 12 % from benign diseases. The anastomosis insufficiency rate per patient was 1.3 % and per anastomosis 1.1 %. We found a significant difference in the anastomosis insufficiency rate of the upper (0.4 %) and the lower gastrointestinal tract (4.2 %). As a result of our experiences we propose the use of the Valtrac-ring for anastomoses in intrathoracic oesophagogastrostomy, gastrostomy in inoperable malignant pyloric stenosis, small bowel anastomosis as part of Y-Roux-reconstruction and end-to-end-anastomosis in the lower gastrointestinal tract after colon-resection. We do not see a routine indication for Valtrac-anastomosis in oesophagojejunostomy after gastrectomy and in colorectal anastomosis after rectum-resection.
1991年6月至2000年6月期间，马格德堡旧城城市医院外科为876例患者实施了1015例Valtrac吻合术。数据登记为前瞻性进行，所有患者的平均年龄为62.1岁，最年轻的患者22岁，最年长的94岁。所有病例中，88%的患者患有恶性疾病，12%患有良性疾病。每位患者的吻合口漏发生率为1.3%，每个吻合口的发生率为1.1%。我们发现上消化道（0.4%）和下消化道（4.2%）的吻合口漏发生率存在显著差异。根据我们的经验，我们建议将Valtrac环用于胸段食管胃吻合术、不可手术的恶性幽门狭窄患者的胃造口术、作为Y-Roux重建一部分的小肠吻合术以及结肠切除术后下消化道的端端吻合术。我们认为胃切除术后食管空肠吻合术和直肠切除术后结直肠吻合术没有常规使用Valtrac吻合术的指征。
