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[AKA-2 装置在食管-肠道吻合术中的应用经验]

[Experience in the use of the AKA-2 device in the formation of esophago-intestinal anastomosis].

作者信息

Patiutko Iu I, Pedchenko V V, Lagoshnyĭ A T, Efimov O N

出版信息

Klin Khir (1962). 1991(5):31-5.

PMID:1875616
Abstract

Two techniques of the compressive anastomosis formation were used. At the early postoperative period, there were no complications. Three months after the operation, 4 patients were examined. In 1, the cicatricial anastomotic stenosis, caused by the errors in technique of the anastomosis creation, was revealed. In the remaining 3 patients, there were no impairment in healing of an anastomosis. In 9 patients, in formation of an anastomosis, all the layers of the intestinal wall and only mucous membrane of the esophagus were stitched. No impairment in anastomotic healing was noted. Of the 16 patients operated on with the use of the AKA-2 apparatus (in all the cases, the compressing rings with a small diameter--20 mm were used), 1 died at day 4 after the operation from ischemic insult of the brain.

摘要

采用了两种压缩吻合术的技术。术后早期无并发症发生。术后三个月,对4例患者进行了检查。其中1例发现因吻合术操作技术失误导致瘢痕性吻合口狭窄。其余3例患者吻合口愈合无损害。9例患者在吻合术构建过程中,缝合了肠壁的所有层次,仅缝合了食管黏膜。未发现吻合口愈合有损害。在使用AKA - 2器械进行手术的16例患者中(所有病例均使用直径为20 mm的小直径压缩环),1例在术后第4天死于脑缺血损伤。

相似文献

1
[Experience in the use of the AKA-2 device in the formation of esophago-intestinal anastomosis].[AKA-2 装置在食管-肠道吻合术中的应用经验]
Klin Khir (1962). 1991(5):31-5.
2
[Compression anastomoses and their creation by SCD devices in experiment and clinical practice].
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3
[Esophago-visceral anastomosis].[食管-内脏吻合术]
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The biofragmentable ring in intestinal surgery.肠道手术中的生物可降解环
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[An improved antireflux esophageal-intestinal anastomosis in gastrectomy].
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[Circular intestinal and esophageal suture with universal suture device (experimental trial)].使用通用缝合装置进行环形肠道和食管缝合(实验性试验)
Khirurgiia (Mosk). 1997(7):31-9.
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[Immediate outcome of gastrectomy with different variants of esophago-intestinal anastomosis].
Khirurgiia (Mosk). 1989 Dec(12):47-50.
8
[A simple method of creation of invaginated esophago-intestinal and esophago-gastric anastomoses].[一种创建套叠式食管-肠和食管-胃吻合术的简单方法]
Khirurgiia (Mosk). 2002(2):14-7.
9
[Healing and cicatrization of esophago-gastric and esophago-intestinal anastomosis in an experimental transpleural resection of the esophagus].[经胸食管切除术中食管胃及食管肠吻合口的愈合与瘢痕形成]
Khirurgiia (Mosk). 1955 Oct(10):51-5.
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[Complications in esophagojejunal anastomosis].[食管空肠吻合术的并发症]
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1
Compression anastomoses in colorectal surgery: a review.结直肠外科中的压缩吻合术:综述。
Tech Coloproctol. 2012 Jun;16(3):187-99. doi: 10.1007/s10151-012-0825-6. Epub 2012 Apr 26.