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[内脏缝合术——机械缝合线在消化道手术中的应用]

[Viscerosynthesis--use of mechanical sutures in digestive tract surgery].

作者信息

Maksimović V, Druzijanić N, Parpura D, Kraljević D, Tomić I, Baković A, Milutinović D

出版信息

Vojnosanit Pregl. 1990 Mar-Apr;47(2):91-5.

PMID:2368338
Abstract

Mechanical suture (stapler) was applied 164 times in digestive surgery in the period from October 1985 to December 1988. There have been performed 82 anastomoses (30 low collateral, 20 esophagointestinal, 20 ileocolic, 10 enteroenteral and 2 colocolic) and 76 closure of intestines. Anastomoses were performed with EEA stapler in 50, GIA stapler in 30 and TA stapler in 2 cases. Intraoperative complications related to the use of stapler were observed in 4.8% cases. Clinically manifested dehiscence of the stapler anastomoses was evident in 4.8% (82) and immediate cause of death in 1.2% (1) case. The incidence of secondary wound infection after four years was 2.4%. No clinically manifested stenosis of anastomoses were observed within the follow up period from one to four years.

摘要

1985年10月至1988年12月期间,机械缝合器(吻合器)在消化外科手术中应用了164次。共进行了82例吻合术(30例低位吻合、20例食管肠吻合、20例回结肠吻合、10例肠肠吻合和2例结肠结肠吻合)以及76例肠闭合术。使用EEA吻合器进行吻合术50例,GIA吻合器30例,TA吻合器2例。4.8%的病例观察到与吻合器使用相关的术中并发症。吻合器吻合口临床明显裂开的发生率为4.8%(82例),直接导致死亡的发生率为1.2%(1例)。四年后继发性伤口感染的发生率为2.4%。在1至4年的随访期内未观察到吻合口临床明显狭窄。

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