Lang R A, Hüttl T P, Winter H, Meyer G, Jauch K-W
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, München.
Zentralbl Chir. 2005 Feb;130(1):65-70. doi: 10.1055/s-2004-836264.
A recent German Multicenter Study comprising 3 070 laparoscopic colorectal resections indicates that complete intracorporeal anastomoses are performed in only 1.8 % cases. The aim of our study was to review and analyse the safety of complete intracorpeal anastomosis.
In a literature survey we searched for complete intracorporeal anastomosis with different key words.
In agreement with the literature, technically demanding hand-sutured anastomoses are no common practice. Intracorporeal anastomosis is usually done using endoscopic linear stapling devices or a conventional circular stapler by performing end-to-end, end-to-side, and side-to-side anastomoses. These techniques are more frequently used in the upper than in the lower gastrointestinal tract.
The data published so far, however, indicates that completely intracorporeal performed anastomoses are safe in the hands of laparoscopically experienced surgeons. This technique implies very low percentages of postoperative stenoses (0-10 %) and, furthermore, very low percentages of postoperative anastomotic leakages (0-8 %).
最近一项纳入3070例腹腔镜结直肠切除术的德国多中心研究表明，仅1.8%的病例进行了完全体内吻合术。我们研究的目的是回顾和分析完全体内吻合术的安全性。
在文献检索中，我们用不同关键词搜索完全体内吻合术。
与文献一致，技术要求高的手工缝合吻合术并不常见。体内吻合术通常使用内镜直线缝合器或传统圆形吻合器进行端端、端侧和侧侧吻合。这些技术在上消化道比下消化道更常用。
然而，迄今为止发表的数据表明，在有腹腔镜经验的外科医生手中，完全体内进行的吻合术是安全的。该技术术后狭窄发生率极低（0-10%），此外，术后吻合口漏发生率也极低（0-8%）。
