使用半双吻合技术的腹腔镜乙状结肠切除术。
Laparoscopic sigmoidectomy using a hemi-double-stapling technique.
作者信息
Ojima Eiki, Ikeda Tetsuya, Noguchi Tomofumi, Watanabe Hideki, Yokoe Takeshi, Ito Hideki, Konishi Naomi, Tonouchi Hitoshi
机构信息
Department of Surgery, Mie Prefectural General Medical Center, Yokkaichi, Mie, Japan.
出版信息
Surg Laparosc Endosc Percutan Tech. 2014 Apr;24(2):e41-2. doi: 10.1097/SLE.0000000000000044.
BACKGROUND
The double-stapling technique (DST) is frequently used in laparoscopic sigmoidectomy. Unfortunately, anastomotic leakage after laparoscopic intracorporeal colorectal anastomosis with DST is seen with some frequency.
METHODS
We performed DST on 40 patients (June 2007 to August 2008) and hemi-DST on 50 patients (September 2008 to December 2011) undergoing laparoscopic sigmoidectomy.
RESULTS
There were no occurrences of anastomotic leakage in the hemi-DST group, and 2 instances of anastomotic leakage in the DST group were observed. In these patients, the leakage appeared at the lateral intersecting anastomotic margins.
CONCLUSIONS
Using the hemi-DST for laparoscopic intracorporeal colorectal anastomosis will make laparoscopic sigmoidectomy a safer procedure.
背景
双吻合器技术（DST）常用于腹腔镜乙状结肠切除术。不幸的是，采用DST进行腹腔镜体内结直肠吻合术后吻合口漏的情况时有发生。
方法
我们对40例接受腹腔镜乙状结肠切除术的患者（2007年6月至2008年8月）实施了DST，对50例患者（2008年9月至2011年12月）实施了半DST。
结果
半DST组未发生吻合口漏，DST组观察到2例吻合口漏。在这些患者中，漏出发生在吻合口外侧交叉边缘处。
结论
在腹腔镜体内结直肠吻合术中使用半DST将使腹腔镜乙状结肠切除术成为更安全的手术。
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