直肠前切除术后单吻合器双荷包吻合术
Single-stapled double-pursestring anastomosis after anterior resection of the rectum.
作者信息
Marecik Slawomir J, Chaudhry Vivek, Pearl Russell, Park John J, Prasad Leela M
机构信息
Advocate Lutheran General Hospital, Department of Surgery, 1775 W. Dempster St., 8 South, Park Ridge, IL 60068, USA
出版信息
Am J Surg. 2007 Mar;193(3):395-9. doi: 10.1016/j.amjsurg.2006.12.008.
BACKGROUND
Single-stapled double-pursestring technique for colorectal anastomosis to the mid-rectum or upper rectum is the most commonly used technique in the single institution reported here. The investigators evaluate single-stapled double-pursestring anastomosis after anterior resection of the rectum performed at a single institution.
METHODS
Medical records of patients who underwent single-stapled double-pursestring anastomosis between January 2000 and May 2005 were analyzed to identify postoperative anastomotic complications. Patients with previous radiation, diverting stoma, coloanal, and hand-sewn and double-stapled anastomoses were excluded. The primary goal was to identify postoperative anastomotic complications.
RESULTS
Of 160 patients, 153 (96%) no septic complications. One patient (.6%) developed anastomotic leak requiring diversion. Of the 4 patients with pelvic abscesses (2.5%), 2 were treated with antibiotics and 2 with computed axial tomography-guided drainage.
CONCLUSIONS
Single-stapled double-pursestring anastomosis is reliable, with very low rates of leak, subsequent diversion, and pelvic abscess (.6%, .6%, and 2.5% respectively).
背景
在本文所报道的单一机构中，用于直肠中下段或上段结肠吻合的单吻合器双荷包技术是最常用的技术。研究者评估了在单一机构进行直肠前切除术后的单吻合器双荷包吻合术。
方法
分析2000年1月至2005年5月期间接受单吻合器双荷包吻合术患者的病历，以确定术后吻合口并发症。排除既往接受过放疗、转流造口、结肠肛管吻合、手工缝合及双吻合器吻合的患者。主要目的是确定术后吻合口并发症。
结果
160例患者中，153例（96%）无感染性并发症。1例患者（0.6%）发生吻合口漏，需要转流。4例盆腔脓肿患者（2.5%）中，2例接受抗生素治疗，2例接受计算机断层扫描引导下引流。
结论
单吻合器双荷包吻合术可靠，吻合口漏、后续转流及盆腔脓肿发生率极低（分别为0.6%、0.6%和2.5%）。
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