Walgenbach S, Sorger K, Junginger T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.
Langenbecks Arch Chir. 1990;375(2):102-5. doi: 10.1007/BF00713394.
In two groups of pigs, 10 in each, partial gastrectomies with gastroduodenostomy (Billroth I) respectively gastrojejunostomy (Roux-en-Y) were performed. Absorbable lactomer (Polysorb, Auto-Suture) staple lines--a copolymer of glycolic acid/lactic acid-, used for the closure of the lesser curvature of the stomach and the duodenal stump, were safe. No suture dehiscence was observed. Macroscopic examination showed no major inflammatory adhesions around the staples. Microscopically inflammatory reactions around the staples in the gastrointestinal wall were found. Our results yielded no contraindication for clinical tests of absorbable sutures in gastrointestinal surgery.
在两组猪中，每组10头，分别进行了胃十二指肠吻合术（毕罗一式）和胃空肠吻合术（鲁氏Y式）的部分胃切除术。用于闭合胃小弯和十二指肠残端的可吸收乳酸聚酯（聚乙醇酸/乳酸共聚物，商品名Polysorb，自动缝合线）钉合线是安全的。未观察到缝线裂开。宏观检查显示钉合线周围无严重炎性粘连。显微镜检查发现胃肠道壁钉合线周围有炎症反应。我们的结果表明可吸收缝线在胃肠手术中的临床试验没有禁忌证。
