Kronberger L, Germann R
Universitäts-Klinik für Chirurgie, Graz.
Langenbecks Arch Chir. 1987;372:89-91. doi: 10.1007/BF01297796.
A general inquiry was made at surgical units and university clinics in Austria about the anastomosis techniques used between 1980 to 1985. The result was that in 90.3% the suture was made by hand and in 9.7% by machine. The first mentioned was performed as double row inverting suture by 66% of our surgeons, and only in 30% as an all-layer suture. The stapler-technique was mostly preferred for the oesophago-jejunostomy and the high and lower resection of the rectum. A leakage of the suture line was observed in 3.9% after sewing by hand and in 6.3% after stapling. The total lethality finally was 1.4% for hand made suture and 1.8% for apparative suture.
针对1980年至1985年间奥地利外科科室和大学诊所所使用的吻合技术进行了一项全面调查。结果显示，90.3%的吻合是手工完成的，9.7%是机器完成的。我们66%的外科医生采用第一种方式进行双排内翻缝合，只有30%采用全层缝合。吻合器技术在食管空肠吻合术以及直肠高位和低位切除术中最为常用。手工缝合后发现缝合线漏出的比例为3.9%，吻合器缝合后为6.3%。最终，手工缝合的总致死率为1.4%，器械缝合为1.8%。
