Negro G, Di Blasio V, Arciero G, Fumo F, De Blasio R A
II Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli.
G Chir. 1992 Apr;13(4):186-8.
Results concerning 819 digestive sutures and anastomoses, 376 (45.9%) of which hand sewn and 443 (54.1%) stapled, are retrospectively analyzed. Comparative evaluation of the two techniques yielded better results for oesophageal and rectal anastomoses as well as duodenal stump closure mechanically performed. For intestinal anastomoses the two techniques showed similar results when performed in election, on the contrary, mechanical sutures fared significantly worse than hand-sutures in non elective surgery, with a morbidity of 30.9% vs 10.2% (p less than 0.05) and a mortality of 4.8% vs 0%. In conclusion, for esophageal, rectal and duodenal anastomoses staplers may be preferred, while for the intestinal anastomoses in non elective surgery hand-sutures should be preferred.
对819例消化缝合和吻合术的结果进行回顾性分析，其中376例（45.9%）为手工缝合，443例（54.1%）为吻合器缝合。两种技术的比较评估显示，食管和直肠吻合以及机械完成的十二指肠残端闭合采用吻合器技术效果更好。对于择期进行的肠吻合术，两种技术效果相似；相反，在非择期手术中，机械缝合的效果明显比手工缝合差，发病率分别为30.9%和10.2%（p<0.05），死亡率分别为4.8%和0%。总之，对于食管、直肠和十二指肠吻合术，吻合器可能更可取，而对于非择期手术中的肠吻合术，应优先选择手工缝合。
