Sameshima Shinichi, Koketsu Shinichiro, Yoneyama Satomi, Miyato Hideyo, Kaji Toshio, Sawada Toshio
Department of Surgery, Hitachi Yokohama Hospital, Yokohama, Kanagawa, Japan.
Int Surg. 2009 Jul-Sep;94(3):249-53.
The aim of this study was to retrospectively evaluate the outcome of stapled, functional, end-to-end anastomosis (FEEA) for the reconstruction of right hemicolectomy. We enrolled 204 patients who underwent a right hemicolectomy for colon carcinomas or adenomas by open surgery. One hundred two patients received an FEEA, and 102 patients received a conventional, handsewn anastomosis after a right hemicolectomy. We examined the postoperative complications, the duration of the operations, and the recurrences. The wound infection rate was lower in the FEEA group than in the handsewn group (4.9 % versus 13.7 %; P = 0.03). The duration of the operations was shorter in the FEEA group than in the handsewn group (134.4 mins versus 160.0 mins; P < 0.0001). There was no recurrence of anastomosis or stenosis in either group. The FEEA method is an easy and safe technique compared with the conventional handsewn anastomosis procedure.
本研究的目的是回顾性评估吻合器功能性端端吻合术（FEEA）用于右半结肠切除术重建的效果。我们纳入了204例行开放性手术切除结肠癌或腺瘤的右半结肠切除术患者。102例患者接受了FEEA，102例患者在右半结肠切除术后接受了传统的手工缝合吻合术。我们检查了术后并发症、手术时长和复发情况。FEEA组的伤口感染率低于手工缝合组（4.9%对13.7%；P = 0.03）。FEEA组的手术时长比手工缝合组短（134.4分钟对160.0分钟；P < 0.0001）。两组均未出现吻合口复发或狭窄。与传统的手工缝合吻合术相比，FEEA方法是一种简便且安全的技术。
