Lawson W R, Hutchison J, Longland C J, Haque M A
Br J Surg. 1977 Feb;64(2):115-9. doi: 10.1002/bjs.1800640209.
Mechanical suturing procedures on the bowel, lung, bronchi and pulmonary vessels have been used on 264 occasions in 180 thoracic and abdominal operations. The instruments proved simple to use and produced reliable good quality closures, for the most part without manual reinforcement. There were 2 technical failures, one ending fatally, after colo-colostomy. Two minor postoperative suture leaks were encountered in 122 operations on the alimentary tract, but no leakage or other problem has arisen in 58 pulmonary cases. The staple-suturing methods described are safe and straightforward, and it is believed that they represent a significant advance in the techniques of thoracic and abdominal surgery, which can usefully be applied in many situations.
在180例胸腹部手术中，已对肠道、肺、支气管和肺血管进行了264次机械缝合操作。事实证明，这些器械使用简单，能产生可靠的高质量缝合效果，大多数情况下无需人工加固。有2例技术失败，其中1例在结肠结肠造口术后致命。在122例消化道手术中出现了2例轻微的术后缝线渗漏，但在58例肺部手术中未出现渗漏或其他问题。所描述的吻合钉缝合方法安全且操作简便，据信它们代表了胸腹部手术技术的重大进步，可有效地应用于多种情况。
