Tucker Jeff G, Copher James Clay, Reilly James P, Fitzsimmons Tom R
Department of Surgery, Northside Forsyth Hospital, Cumming, GA 30041, USA.
Surg Laparosc Endosc Percutan Tech. 2007 Apr;17(2):83-5. doi: 10.1097/SLE.0b013e318030b0f2.
The laparoscopic approach to appendectomy for acute appendicitis is becoming increasingly favored among surgeons. Endoscopic stapling remains a common approach for division of the appendix and mesoappendix, but staple line bleeding along the mesentery is commonly observed, occasionally demanding surgical control for complete hemostasis. Bioabsorbable seamguard was used as an adjunct to endoscopic stapling of the mesoappendix in 33 consecutive adult patients during laparoscopic appendectomy for acute appendicitis, with complete immediate staple line hemostasis observed by the operative surgeon in all cases. There were no intraoperative complications and no late infectious intra-abdominal complications. There were no postoperative bleeding complications. Bioabsorbable seamguard is a safe and effective adjunct to endoscopic mesoappendiceal stapling which prevents intraoperative and postoperative staple line bleeding.
腹腔镜下急性阑尾炎阑尾切除术越来越受到外科医生的青睐。内镜吻合器仍然是阑尾和阑尾系膜离断的常用方法，但沿肠系膜的吻合钉线出血很常见，有时需要手术控制以实现完全止血。在33例连续的成年急性阑尾炎患者行腹腔镜阑尾切除术时，生物可吸收缝线保护器被用作阑尾系膜内镜吻合术的辅助工具，所有病例手术医生均观察到吻合钉线立即完全止血。术中无并发症，术后无腹腔内感染并发症。无术后出血并发症。生物可吸收缝线保护器是内镜阑尾系膜吻合术安全有效的辅助工具，可预防术中和术后吻合钉线出血。
