左侧结直肠吻合口完整性的术中检测：一种对实习外科医生有价值的技术。
Intraoperative testing of the integrity of left-sided colorectal anastomoses: a technique of value to the surgeon in training.
作者信息
Gilbert J M, Trapnell J E
机构信息
Royal Victoria Hospital, Bournemouth, Dorset.
出版信息
Ann R Coll Surg Engl. 1988 May;70(3):158-60.
Abstract
Left-sided colorectal anastomoses sometimes leak despite the best efforts of the surgeon. The cause is thought to be multifactorial but imperfections in the technique of performing the anastomosis must play some part. A method for testing the integrity of left-sided colorectal anastomoses has been developed using intraluminal distension. Twenty-one patients were studied and defects in the anastomosis were found in five (24%). These defects were rectified at the time of operation. We conclude that this method is useful for demonstrating imperfections in anastomotic technique and we suggest a distending pressure of 25 cm saline. We suggest that the method may be particularly useful for the surgeon in training.
摘要
尽管外科医生已竭尽全力，但左侧结直肠吻合有时仍会发生渗漏。其原因被认为是多因素的，但吻合技术的不完善肯定起到了一定作用。一种利用腔内扩张来检测左侧结直肠吻合完整性的方法已被开发出来。对21名患者进行了研究，发现5例（24%）存在吻合口缺陷。这些缺陷在手术时得到了纠正。我们得出结论，该方法对于证明吻合技术的不完善很有用，并且我们建议使用25厘米水柱的盐水作为扩张压力。我们认为该方法对外科实习医生可能特别有用。
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本文引用的文献
1
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Br J Surg. 1970 Feb;57(2):109-18. doi: 10.1002/bjs.1800570208.
2
Continuing experience with single layer appositional anastomosis in the large bowel.大肠单层对端吻合术的持续经验
Br J Surg. 1985 Sep;72 Suppl:S104-6. doi: 10.1002/bjs.1800721351.
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.
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