Brusilovskiĭ M I, Kosachenko P A
Vestn Khir Im I I Grek. 1977 Dec;119(12):36-40.
For the second row of anastomosis sutures in anterior resection the authors employed the technic of "enlarging rectosigmoid anastomosis", which is formed by two running sutures. The second row of sutures is put prior to the withdrawal of the apparatus KTs-28, which is used for pulling the stoma into the wound and turning of both anastomosed intestines to provide an adequate access to the anastomotic line. The experience with the initial II operations seems to be fairly promising. No stricture of the anastomosis develops while using this technic. Indications to the anterior resection of the rectum for cancer are discussed.
在前部切除术的吻合缝线第二排中,作者采用了“扩大直肠乙状结肠吻合术”技术,该技术由两条连续缝线构成。第二排缝线在撤出用于将造口拉入伤口并翻转两个吻合肠段以充分暴露吻合线的KTs - 28器械之前放置。最初的II期手术经验似乎相当有前景。使用该技术时未出现吻合口狭窄。文中还讨论了直肠癌前部切除术的适应症。