术中空气检测：直肠吻合术的一项审计
Intra-operative air testing: an audit on rectal anastomosis.
作者信息
Davies A H, Bartolo D C, Richards A E, Johnson C D, McC Mortensen N J
机构信息
Department of Surgery, Bristol Royal Infirmary.
出版信息
Ann R Coll Surg Engl. 1988 Nov;70(6):345-7.
Abstract
Thirty three patients having an anastomosis to the rectum were studied prospectively to determine the usefulness of intra-operative air testing. The pelvis was filled with saline and the anastomosis was distended with air. Any leaks demonstrated were oversewn. A Gastrografin enema was performed on all the patients on the eighth postoperative day. Overall, there were 4 (12%) clinical leaks and 10 (30%) radiological leaks. In six patients with air leaks demonstrated at operation, two had a radiological leak, one of which presented clinically as well. We believe that in the other four patients a potential leak was probably avoided as a result of intra-operative air testing. This technique is simple, safe and effective and probably helps reduce leakage after colorectal anastomosis.
摘要
对33例进行直肠吻合术的患者进行了前瞻性研究，以确定术中空气检测的效用。盆腔用盐水填充，吻合口用空气扩张。发现的任何漏口均进行缝合。术后第8天对所有患者进行泛影葡胺灌肠。总体而言，有4例（12%）临床漏口和10例（30%）放射学漏口。在手术中发现有空气漏口的6例患者中，2例有放射学漏口，其中1例也有临床症状。我们认为，在其他4例患者中，术中空气检测可能避免了潜在的漏口。该技术简单、安全且有效，可能有助于减少结直肠吻合术后的漏口。
相似文献
1
Intra-operative air testing: an audit on rectal anastomosis.术中空气检测：直肠吻合术的一项审计
Ann R Coll Surg Engl. 1988 Nov;70(6):345-7.
2
Colorectal anastomotic integrity after anterior resection: is there a role for intraoperative testing?前切除术术后结直肠吻合口的完整性：术中检测有作用吗？
J R Coll Surg Edinb. 1991 Feb;36(1):35-6.
3
Controlled intraoperative water testing of left-sided colorectal anastomoses: are ileostomies avoidable?左侧结直肠吻合术中的可控术中水测试：回肠造口术是否可以避免？
Ann R Coll Surg Engl. 1999 Mar;81(2):105-8.
4
Importance of testing stapled rectal anastomoses with air.用空气检测吻合器直肠吻合口的重要性。
Eur J Surg. 1993 Jan;159(1):49-51.
5
The management and outcome of anastomotic leaks in colorectal surgery.结直肠手术中吻合口漏的处理与结局
Colorectal Dis. 2008 Jul;10(6):587-92. doi: 10.1111/j.1463-1318.2007.01417.x. Epub 2007 Dec 7.
6
Anastomotic leak testing after colorectal resection: what are the data?结直肠切除术后吻合口漏检测：有哪些数据？
Arch Surg. 2009 May;144(5):407-11; discussion 411-2. doi: 10.1001/archsurg.2009.43.
7
Intraoperative air testing of colorectal anastomoses: a prospective, randomized trial.结直肠吻合口术中空气测试：一项前瞻性随机试验。
Br J Surg. 1990 Oct;77(10):1095-7. doi: 10.1002/bjs.1800771006.
8
9
10
The effect of endoscopic treatment on healing of anastomotic leaks after anterior resection of rectal cancer.内镜治疗对直肠癌前切除术后吻合口漏愈合的影响。
Surgery. 2009 Feb;145(2):182-8. doi: 10.1016/j.surg.2008.09.012. Epub 2008 Dec 23.
引用本文的文献
1
Efficacy of air leak test in detection of anastomotic leaks after rectal excision: a retrospective case-controlled study.漏气试验在检测直肠切除术后吻合口漏中的有效性：一项回顾性病例对照研究。
Ann Surg Treat Res. 2023 Apr;104(4):214-221. doi: 10.4174/astr.2023.104.4.214. Epub 2023 Mar 31.
2
Initial experience with intraoperative testing and repair of colorectal anastomosis using a TAMIS approach after a positive leak test.渗漏试验呈阳性后，采用经肛门微创手术（TAMIS）方法对结直肠吻合口进行术中检测和修复的初步经验。
Tech Coloproctol. 2022 Nov;26(11):901-904. doi: 10.1007/s10151-022-02635-8. Epub 2022 Jun 21.
3
Technique of air-leak testing of ileocolic anastomosis.回结肠吻合口漏气检测技术
Tech Coloproctol. 2018 Oct;22(10):813-815. doi: 10.1007/s10151-018-1882-2. Epub 2018 Nov 19.
4
Intraoperative air leak test reduces the rate of postoperative anastomotic leak: analysis of 777 laparoscopic left-sided colon resections.术中漏气试验降低术后吻合口漏的发生率：777 例腹腔镜左半结肠切除术分析。
Surg Endosc. 2019 May;33(5):1592-1599. doi: 10.1007/s00464-018-6421-8. Epub 2018 Sep 10.
5
Is the intraoperative air leak test effective in the prevention of colorectal anastomotic leakage? A systematic review and meta-analysis.术中漏气试验对预防结直肠吻合口漏是否有效？一项系统评价和荟萃分析。
Int J Colorectal Dis. 2016 Aug;31(8):1409-17. doi: 10.1007/s00384-016-2616-4. Epub 2016 Jun 13.
6
Laparoscopy following peritoneal entry during transanal endoscopic microsurgery may increase the safety and maximize the benefits of the transanal excision.经肛门内镜显微手术中进入腹膜后进行腹腔镜检查，可能会提高经肛门切除的安全性并使益处最大化。
Tech Coloproctol. 2016 Apr;20(4):221-6. doi: 10.1007/s10151-016-1436-4. Epub 2016 Feb 23.
7
Improving outcomes and cost-effectiveness of colorectal surgery.提高结直肠手术的治疗效果和成本效益。
J Gastrointest Surg. 2014 Nov;18(11):1944-56. doi: 10.1007/s11605-014-2643-9. Epub 2014 Sep 10.
8
What is the risk of clinical anastomotic leak in the diverted colorectal anastomosis?旷置性结直肠吻合术中临床吻合口漏的风险是什么？
J Gastrointest Surg. 2014 Oct;18(10):1812-6. doi: 10.1007/s11605-014-2588-z. Epub 2014 Jul 15.
9
Intraoperative assessment of colorectal anastomotic integrity: a systematic review.结直肠吻合口完整性的术中评估：一项系统综述
Surg Endosc. 2014 Sep;28(9):2513-30. doi: 10.1007/s00464-014-3520-z. Epub 2014 Apr 10.
10
Prediction and diagnosis of colorectal anastomotic leakage: A systematic review of literature.结直肠吻合口漏的预测与诊断：文献系统综述
World J Gastrointest Surg. 2014 Feb 27;6(2):14-26. doi: 10.4240/wjgs.v6.i2.14.
本文引用的文献
1
Anastomotic integrity after operations for large-bowel cancer: a multicentre study.大肠癌手术后的吻合口完整性：一项多中心研究。
Br Med J. 1980 Aug 9;281(6237):411-4. doi: 10.1136/bmj.281.6237.411.
2
The water soluble contrast enema after rectal anastomosis.直肠吻合术后水溶性造影剂灌肠。
Br J Surg. 1982 Dec;69(12):714-7. doi: 10.1002/bjs.1800691210.
3
Staples or sutures for low colorectal anastomoses: a prospective randomized trial.
Br J Surg. 1985 Aug;72(8):603-5. doi: 10.1002/bjs.1800720807.
4
Single layer anastomosis after rectosigmoid resection.
Br J Surg. 1975 Mar;62(3):239-42. doi: 10.1002/bjs.1800620318.
5
A comparison of one layer and two layer techniques for colorectal anastomosis.结直肠吻合术单层与双层技术的比较。
Br J Surg. 1975 Feb;62(2):135-40. doi: 10.1002/bjs.1800620214.
6
The stapled gastrointestinal tract anastomosis: incidence of postoperative complications compared with the sutured anastomosis.吻合器行胃肠道吻合术：与缝合吻合术相比的术后并发症发生率
Ann Surg. 1978 Nov;188(5):689-96. doi: 10.1097/00000658-197811000-00019.
7
A controlled comparison one- and two-layer techniques of suture for high and low colorectal anastomoses.高、低位结直肠吻合术中单层与双层缝合技术的对照比较。
Br J Surg. 1977 Sep;64(9):609-14. doi: 10.1002/bjs.1800640902.
Zotero 插件