Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan St, Parkville, Victoria, Australia.
Anticancer Res. 2010 Apr;30(4):1293-4.
Since the advent of microvascular free tissue transfer, adjunctive surgical techniques have become sought as a means to improving overall surgical time and outcomes in oncological surgery. Anastomotic devices have provided one such avenue, with staples and coupling devices suggested as an alternative to traditional suturing. We describe our experience with two such devices, automatic staples and the anastomotic ring coupler, in 1,000 cases of free tissue transfer. In 1,400 anastomoses, there was a significant reduction in anastomotic time from suturing (22 minutes) with the use of staples (15 minutes) or the ring coupler (4 minutes), p<0.01. This was without any increase in complication rates. These findings support the use of these devices and suggest an increasing role for modern devices in microvascular surgery.
自微血管游离组织移植出现以来，辅助性外科技术已成为一种手段，旨在改善肿瘤外科手术中的整体手术时间和结果。吻合器械提供了一种途径，订书钉和连接装置被建议作为传统缝合的替代方法。我们在 1000 例游离组织转移中描述了我们使用两种此类器械（自动吻合钉和吻合环连接器）的经验。在 1400 个吻合术中，与使用订书钉（15 分钟）或环连接器（4 分钟）相比，缝合的吻合时间（22 分钟）显著减少，p<0.01。这并没有增加并发症的发生率。这些发现支持这些器械的使用，并表明现代器械在微血管外科中发挥着越来越重要的作用。
