Fegiz G
Chirurgica d'ell Università di Roma.
Langenbecks Arch Chir. 1987;372:93-7. doi: 10.1007/BF01297797.
Mechanical suturing has become widespread in Italy in recent years, especially for anastomoses between the large intestines and the rectum and between the esophagus and the stomach or small intestine; many chest surgeons also use this type of suture. Basically, mechanical suturing is preferred for anastomoses for which the manual technique has proved difficult, for example those low in the pelvis or high up in the chest. Few surgeons use mechanical suturing at sites where it is easy to suture by hand. Overall, experience with mechanical suturing has been positive, mainly because the number of conservative resections performed for rectal carcinoma has increased while the frequency of the so-called Miles operation has declined in recent years. Our own experience with mechanical suturing has been collected in the construction of colorectal (235 with mechanical suturing out of a total of 592), ileorectal and ileoanal anastomoses (45 ileorectal and 12 ileoanal anastomoses with mechanical suturing out of a total of 155 surgical operations).
近年来，机械缝合在意大利已广泛应用，尤其是在大肠与直肠之间以及食管与胃或小肠之间的吻合术中；许多胸外科医生也使用这种缝合方式。基本上，对于那些已证明手工技术困难的吻合术，例如骨盆低位或胸部高位的吻合术，机械缝合更受青睐。很少有外科医生在易于手工缝合的部位使用机械缝合。总体而言，机械缝合的经验是积极的，主要是因为近年来直肠癌保肛手术的数量增加，而所谓的腹会阴联合直肠癌根治术的频率下降。我们自己在机械缝合方面的经验来自结直肠吻合术（总共592例手术中有235例采用机械缝合）、回直肠和回肛吻合术（总共155例手术中有45例回直肠和12例回肛吻合术采用机械缝合）。
