Machado Marcel Autran C, Herman Paulo, Montagnini André L, Eshkenazy Rony, Corrêa Danton Spohr, Machado Marcel C C
Department of Abdominal Surgery, Cancer Hospital, São Paulo, Brazil.
Am J Surg. 2002 Nov;184(5):449-51. doi: 10.1016/s0002-9610(02)01000-0.
The use of stapling devices for performing gastrointestinal anastomosis has gained wide acceptance in the last decade. Linear cutting devices have been used routinely during gastrointestinal operations in our hospital since 1992. However, we still have shortage of stapling devices due to cost reduction politics.
We propose a modification of the standard technique in order to reduce the number of devices used. Our technique employs a single stapled including the section of the jejunum and the side-to-side jejunoanastomosis.
We have used this technique for 1 year without complications related to the stapled anastomosis.
This technique may reduce the time of reconstruction of Roux-en-Y anastomosis without interfering in its final result. This modified technique may be useful in hospitals with reduced economic resources.
在过去十年中，使用吻合器进行胃肠吻合术已得到广泛认可。自1992年以来，我院在胃肠手术中常规使用线性切割器。然而，由于成本削减政策，我们的吻合器仍然短缺。
我们提出一种标准技术的改良方法，以减少器械的使用数量。我们的技术采用单次吻合，包括空肠段和空肠侧侧吻合。
我们使用该技术1年，未出现与吻合器吻合相关的并发症。
该技术可减少Roux-en-Y吻合术的重建时间，且不影响其最终效果。这种改良技术可能对经济资源有限的医院有用。
