Korotkov N I, Efremov A V, Boĭtsov N I
Khirurgiia (Mosk). 2002(11):27-31.
Results of stomach resection by Bilrot-II in 30 experimental animals and 369 patients with gastric and duodenal ulcers were analyzed. Gastroenteroanastomoses were created with various sutures: capron, polysorb, titanium clips. Pneumopression, bacteriologic and morphologic examinations of anastomosis, fibroesophagogastroduodeno- and intestinoscopy, peripheral computed electrogastroenterography were used. It was revealed that mechanical suture with titanium clips was the best. Polysorb thread is inferior in tissue reaction to mechanical suture but superior to capron. Use of polysorb reduced rate of complications in immediate postoperative period 4 times. Taking into consideration high cost of suture devices it is reasonable to introduce polysorb in practice of abdominal surgery.
分析了30只实验动物和369例胃及十二指肠溃疡患者采用毕罗Ⅱ式胃切除术的结果。用不同缝线进行胃肠吻合：卡普纶线、聚乙醇酸线、钛夹。采用了吻合口的气压检查、细菌学和形态学检查、纤维食管胃十二指肠镜检查和肠内镜检查、外周计算机化胃肠电图检查。结果显示，钛夹机械缝合是最佳的。聚乙醇酸线在组织反应方面比机械缝合差，但优于卡普纶线。使用聚乙醇酸线可使术后近期并发症发生率降低4倍。考虑到缝合器械成本高昂，在腹部外科手术实践中引入聚乙醇酸线是合理的。
