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结肠癌切除术后的手工吻合。

The handsewn anastomosis after colon resection due to colonic cancer.

机构信息

4th Surgical Department, Aristotle University of Thessaloniki, Antheon 1, 55236 Panorama, Thessaloniki, Greece.

出版信息

Tech Coloproctol. 2010 Nov;14 Suppl 1:S57-9. doi: 10.1007/s10151-010-0612-1.

DOI:10.1007/s10151-010-0612-1
PMID:20683752
Abstract

AIM

The purpose of our study is to present the results of the handsewn single-layer interrupted extramucosal anastomosis following colon cancer.

PATIENTS AND METHODS

In the period between 1989 and 2009, 276 intestinal anastomoses were fashioned following colon resection using single-layer interrupted extramucosal 3/0 Vicryl.

RESULTS

The mean hospital stay was 8.2 days. Twenty-three patients had postoperative complications, and the total morbidity was 8.3%. Seven anastomotic leakages occurred (2.5%). The mortality rate was 2.5%.

CONCLUSION

The single-layer anastomosis with interrupted extramucosal sutures after colon resection is safe and effective.

摘要

目的

本研究旨在介绍结肠癌手术后采用手工单层间断黏膜下吻合的结果。

患者和方法

在 1989 年至 2009 年期间,我们对 276 例结肠癌患者采用单层间断黏膜下 3/0 薇乔缝线进行肠吻合。

结果

平均住院时间为 8.2 天。23 例患者术后出现并发症,总发病率为 8.3%。7 例出现吻合口漏(2.5%)。死亡率为 2.5%。

结论

结肠癌手术后采用单层间断黏膜下吻合是安全有效的。

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本文引用的文献

1
Colo-rectal anastomotic leakage often masquerades as a cardiac complication.结直肠吻合口漏常常被误诊为心脏并发症。
Colorectal Dis. 2004 Jan;6(1):21-2. doi: 10.1111/j.1463-1318.2004.00574.x.
2
The interrupted serosubmucosal anastomosis - still the gold standard.间断浆肌层吻合术——仍然是金标准。
Colorectal Dis. 2003 Jul;5(4):362-6. doi: 10.1046/j.1463-1318.2003.00460.x.
3
Stapled versus handsewn methods for colorectal anastomosis surgery: a systematic review of randomized controlled trials.结直肠吻合手术中吻合器与手工缝合方法:随机对照试验的系统评价
他克莫司对大鼠结肠吻合口愈合的影响。
Int J Colorectal Dis. 2012 Mar;27(3):299-308. doi: 10.1007/s00384-011-1337-y. Epub 2011 Nov 9.
Sao Paulo Med J. 2002 Sep 2;120(5):132-6. doi: 10.1590/s1516-31802002000500002.
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Single-layer continuous versus two-layer interrupted intestinal anastomosis: a prospective randomized trial.单层连续与双层间断肠吻合术:一项前瞻性随机试验。
Ann Surg. 2000 Jun;231(6):832-7. doi: 10.1097/00000658-200006000-00007.
5
Continuing experience with single layer appositional anastomosis in the large bowel.大肠单层对端吻合术的持续经验
Br J Surg. 1985 Sep;72 Suppl:S104-6. doi: 10.1002/bjs.1800721351.