Gorfinkel' I V, Chirkov Iu V
Khirurgiia (Mosk). 1991 Mar(3):72-5.
The authors analysed 718 operative interventions in which gastrointestinal anastomoses were formed at various levels of the gastrointestinal tract. It was established that the more distal the anastomosis is, the greater the risk of its incompetence and a fatal outcome due to it are. The advantages of the "closed" method for forming the anastomosis in operations on the ileum and colon were revealed. A method for creating anastomoses by the closed technique with a single-row suture is suggested.
作者分析了718例在胃肠道不同水平进行胃肠吻合的手术干预。结果表明,吻合部位越靠近远端,其功能不全的风险以及由此导致的致命后果就越大。揭示了在回肠和结肠手术中采用“闭合”方法形成吻合口的优势。提出了一种采用单排缝合的闭合技术创建吻合口的方法。