Kozlov Iu A, Novozhilov V A, Podkamenev A V, Veber I N
Khirurgiia (Mosk). 2013(3):66-9.
The comparative experience of mechanical and manual intestinal anastomoses in newborns was analyzed. The main group (mechanical suture) consisted of 23 patients; the group of control consisted of 21 little patients. The mechanical intestinal suture was performed with the use of linear endoscopic stapler with 2.5 mm high staples. There were no differences in age and body weight between the two groups. The mean operative time was 77.4 min for the 1st group, whereas for the 2nd group it was 56.4 min. There were no significant difference in time before enteral feeding after the operation - 6.7 days on average. The hospital stay time was also identical (13.3 vs. 14.1 days). Postoperative period was uncomplicated in both groups. Thus, the use of mechanical stapler for intestinal anastomosis allows shorten the operative time, though preserving the same results of hospital stay and enteral feeding beginning.
分析了新生儿机械性和手工肠道吻合术的对比经验。主要组（机械缝合）由23例患者组成；对照组由21例患儿组成。使用带有2.5毫米高钉的线性内镜吻合器进行机械性肠道缝合。两组在年龄和体重方面没有差异。第一组的平均手术时间为77.4分钟，而第二组为56.4分钟。术后开始肠内喂养前的时间没有显著差异——平均为6.7天。住院时间也相同（分别为13.3天和14.1天）。两组术后均无并发症。因此，使用机械吻合器进行肠道吻合术可缩短手术时间，同时保持住院时间和开始肠内喂养的相同结果。
