Ravo B, Ferris V J, Cortesi F, Bagnato J
Nassau County Medical Center, New York.
G Chir. 1992 Apr;13(4):208-11.
Laparoscopic surgery is an "old" technique extending to new applications including colon surgery. Basically, even though surgical technique and indications do not differ from traditional surgery, it has the advantage to eliminate most of the complications associated with an abdominal incision. In order to improve also the outcome of intestinal anastomoses, an aseptic technique by intestinal intussusception previously described (3) has been modified and carried out laparoscopically in 3 pigs and 3 dogs successfully. The animals were sacrificed after 2 months. Anastomoses were evaluated endoscopically by barium enema and by gross and microscopic examination. Results indicated no mortality or complications except for a small area of mucosal peri-anastomotic necrosis in one dog, which spontaneously healed. Therefore, it seems that the aseptic resection of the colon is possible with laparoscopy obtaining at the same time a decreased morbidity related to the abdominal incision and colonic anastomosis.
腹腔镜手术是一种“古老”的技术，现正拓展至包括结肠手术在内的新应用领域。基本上，尽管手术技术和适应症与传统手术并无差异，但它具有消除大多数与腹部切口相关并发症的优势。为了改善肠道吻合的效果，先前描述的一种通过肠套叠的无菌技术（3）已被改进，并成功地在3头猪和3只狗身上进行了腹腔镜操作。2个月后对动物实施安乐死。通过钡灌肠以及大体和显微镜检查对内吻合口进行内镜评估。结果表明，除一只狗的吻合口周围黏膜有小面积坏死且自行愈合外，未出现死亡或并发症。因此，似乎通过腹腔镜进行结肠无菌切除是可行的，同时还能降低与腹部切口和结肠吻合相关的发病率。
