Irwin S T, Krukowski Z H, Matheson N A
Department of Surgery, University of Aberdeen, UK.
Br J Surg. 1990 Jun;77(6):643-4. doi: 10.1002/bjs.1800770616.
A total of 466 single layer upper gastrointestinal anastomoses were made in 349 patients during an 11-year period. Six (1.3 per cent) anastomoses leaked. Radiological leakage was seen in one of 24 (4.2 per cent) oesophagogastric/jejunal anastomoses. There were no leaks after 66 gastrojejunal anastomoses; one of 84 (1.2 per cent) gastroduodenal anastomoses leaked and was converted to a gastrojejunal anastomosis. Two of 121 (1.7 per cent) biliary-enteric anastomoses leaked and both were successfully managed without reoperation. Two of 171 (1.2 per cent) enteroenteric anastomoses leaked, both in patients with established intraperitoneal sepsis which proved fatal. Of the 349 patients, 13 (3.7 per cent) died in hospital or within 30 days of operation but in only two was anastomotic leakage implicated. Single layer appositional upper gastrointestinal anastomoses are simple, safe and economic.
在11年期间，共对349例患者进行了466次单层上消化道吻合术。6例（1.3%）吻合口发生渗漏。在24例食管胃/空肠吻合术中，有1例（4.2%）出现放射学检查提示的渗漏。66例胃空肠吻合术后无渗漏；84例胃十二指肠吻合术中，有1例（1.2%）发生渗漏，后改行胃空肠吻合术。121例胆肠吻合术中，有2例（1.7%）发生渗漏，均成功处理，无需再次手术。171例肠肠吻合术中，有2例（1.2%）发生渗漏，均发生在已有腹腔内感染的患者，最终患者死亡。349例患者中，13例（3.7%）在住院期间或术后30天内死亡，但只有2例与吻合口渗漏有关。单层对合式上消化道吻合术简单、安全且经济。
