Maslov V I
Khirurgiia (Mosk). 2002(2):14-7.
Creation of invaginated esophageal anastomosis is easier by Tsatsanidi method, but this is accompanied by certain discomforts. In particular, there is inescapable contamination of intestinal serosa by ligature which fixes esophageal stump from inside and is taken out through intestinal wall. The author proposes to put this ligature into the side hole of the thick gastric tube and to fix it there with bougie. The tube is moved deeplier, ligature and esophageal stump are pulled up. This facilitates creation of invaginated anastomosis. Then bougie is removed from the thick tube and fixed ligature is freed. This method was used in 19 patients. There were no lethal outcomes due to insufficiency of esophageal anastomosis. This method permits to simplify creation of invaginated anastomosis, to increase asepsis of surgery and to dicrease the risk of anastomosis insufficiency.
采用察察尼迪方法创建套叠式食管吻合术更为简便，但会伴随一定不适。特别是，从内部固定食管残端并穿过肠壁取出的结扎线会不可避免地污染肠浆膜。作者建议将此结扎线置于粗胃管的侧孔中，并用探条将其固定在那里。将胃管向深处移动，向上牵拉结扎线和食管残端。这有助于创建套叠式吻合术。然后从粗胃管中取出探条并松开固定的结扎线。该方法应用于19例患者。未因食管吻合口功能不全导致死亡病例。此方法可简化套叠式吻合术的创建过程，提高手术的无菌程度，并降低吻合口功能不全的风险。
