Pirogov A I, Morkhov Iu K, Iushkov S F, Kaishin N N, Dzhabbarov M M
Sov Med. 1989(4):12-5.
The authors' findings permit a conclusion that a compression formation of an esophagogastroanastomosis is a simpler and more reliable method than other techniques used in cases of proximal resection of the stomach. The anastomosis sutures have failed in only one of the 44 surgeries. The surgical procedure is the same as that used when the routine IIKC or CIITY equipment is employed. Unlike the anastomoses formed manually, compression anastomoses rule out one of the major drawbacks of a suture made by hand, i.e. bacterial contamination of the anastomosis area. Clamps and needles of the compression rings in anastomoses formed by means of compression apparatus AKA-2 and modified CIITY apparatus with silicone gaskets are free of the wick characteristics typical of the common suturing material, when the bacterial flora is transported into the deep-lying layers of the anastomosed organs along the thread fibers from the side of the mucosa. Resection of the proximal portion of the stomach and the lower thoracic portion of the esophagus has been carried out in 2 patients, making use of a compression anastomosis. The course of the postoperative period has been normal.
作者的研究结果表明，与胃近端切除术中使用的其他技术相比，食管胃吻合术的压迫成型是一种更简单、更可靠的方法。在44例手术中，吻合口缝线仅在1例手术中失败。该手术操作与使用常规IIKC或CIITY设备时相同。与手工缝合形成的吻合口不同，压迫吻合术消除了手工缝合的一个主要缺点，即吻合口区域的细菌污染。在通过AKA-2压迫装置和带有硅胶垫圈的改良CIITY装置形成的吻合口中，压迫环的夹子和针没有普通缝合材料典型的灯芯特性，即当细菌菌群从粘膜侧沿着线纤维进入吻合器官的深层时。利用压迫吻合术对2例患者进行了胃近端和食管下胸部的切除。术后病程正常。
