Kosuta D, Cvitanović B, Anić T, Tomicić M, Barisić J, Rukavina J
Lijec Vjesn. 1989 Jun-Jul;111(6-7):215-7.
The application of mechanic sewing apparatus has obtained significant position in surgery of gastrointestinal tract. The EEA stapler (ILS Proximate) is improved, suitable and useful instrument for the performance of anastomosis after resection, and technically is equivalent to the normal suture techniques. It is especially convenient for the creation of low rectal anastomoses, thus definitive anus preter can be avoided. In 10 cases of rectal carcinoma, anterior resections and stapled anastomoses (3 were below 7 cm from anal border) were applied. In spite of insufficient number of surgically treated cases, surgical treatment was without technical problems and without postoperative dehiscence. Especially at low anastomoses, the importance of satisfactory suture techniques, adequate vascularization, avoidance of tissue tension, adequate selection and regulation of instruments are emphasized.
机械缝合器械在胃肠道手术中已占据重要地位。EEA吻合器（ILS Proximate）经过改进，是切除术后进行吻合的合适且有用的器械，在技术上等同于常规缝合技术。它对于低位直肠吻合的创建特别方便，从而可以避免永久性人工肛门。对10例直肠癌患者施行了前切除术和吻合器吻合术（3例距肛缘7cm以下）。尽管手术治疗的病例数量不足，但手术过程没有技术问题，术后也没有发生裂开。特别是在低位吻合时，强调了满意的缝合技术、充足的血管供应、避免组织张力、器械的适当选择和调节的重要性。
