El-Bakry Abdelkarim A
Division of General Surgery, Department of Surgery, King Khalid University Hospital, College of Medicine, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2002 Oct;23(10):1232-6.
Mechanical suture (stapler) has been in use for bowel anastomosis since the second half of the 20th century, however, it became popular since it was used widely by the United States of America in the late 1960. Since it is more expensive than the conventional method, a local experimental assessment was introduced to compare stapler with conventional methods.
Eighteen local dogs were used, 36 anastomosis were assessed in the animal house operating theater of King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia between October 1998 and March 2000.
The weight needed to disrupt the anastomosis was more in the stapler technique, the amount of intraperitoneal fluid, adhesion and the inflammatory response in histopathological study were less in the stapler technique. Our study has shown that the stapler technique is superior when compared with conventional bowel anastomosis.
We recommend stapler use in bowel anastomosis whenever clinically feasible.
机械缝合（吻合器）自20世纪下半叶起就用于肠道吻合术，然而，自20世纪60年代末被美国广泛使用后才开始流行。由于其比传统方法更昂贵，因此引入了一项局部实验评估来比较吻合器与传统方法。
使用了18只当地的狗，1998年10月至2000年3月期间在沙特阿拉伯王国利雅得市哈立德国王大学医院的动物房手术室对36例吻合术进行了评估。
破坏吻合口所需的重量在吻合器技术组更大，组织病理学研究中吻合器技术组的腹腔内液体量、粘连及炎症反应更少。我们的研究表明，与传统肠道吻合术相比，吻合器技术更具优势。
我们建议在临床可行的情况下，在肠道吻合术中使用吻合器。
