Quill J R
Arch Surg. 1978 Oct;113(10):1205-8. doi: 10.1001/archsurg.1978.01370220091015.
Anastomotic separation after anterior resection of the rectum remains a major problem, although the frequency of anastomotic dehiscence after anterior resection varies. Monofilament stainless steel wire suture is an inert suture, has excellent holding power, and is associated with a low probability of wound infection. Side-to-end coloproctostomy for anastomotic reconstruction after anterior resection has proved to be a satisfactory alternative to the usual end-to-end anastomosis. A combination of wire suture with side-to-end coloproctostomy was performed in 60 consecutive anterior resections in which there were two clinical anastomotic leaks and no deaths attributable to anastomotic dehiscence. Simultaneous loop transverse colostomy was performed in 13 cases (22%), and all colostomies were subsequently closed without difficulty. This technique is recommended for reconstruction of bowel continuity after anterior resection of the rectum.
尽管直肠前切除术后吻合口裂开的发生率有所不同，但吻合口分离仍是一个主要问题。单丝不锈钢丝缝线是一种惰性缝线，具有出色的持线力，且伤口感染概率低。事实证明，直肠前切除术后采用端侧结肠直肠吻合术进行吻合重建是常规端端吻合术的一种令人满意的替代方法。在连续60例直肠前切除术中采用钢丝缝线联合端侧结肠直肠吻合术，其中有2例临床吻合口漏，无因吻合口裂开导致的死亡病例。13例（22%）患者同时行了袢式横结肠造口术，所有造口随后均顺利关闭。推荐采用该技术进行直肠前切除术后的肠连续性重建。
