Gleason Lauren, Gunnells Drew
Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama Medical Center, Birmingham, Alabama.
Clin Colon Rectal Surg. 2022 Dec 9;36(1):5-10. doi: 10.1055/s-0042-1757786. eCollection 2023 Jan.
Ileocolic anastomoses are commonly performed by surgeons in both open and minimally invasive settings and can be created by using many different techniques and configurations. Here the authors review both current literature and the author's preference for creation of ileocolic anastomoses in the setting of malignancy, inflammatory bowel disease, and colonic inertia. The authors also review evidence surrounding adjuncts to creation of anastomoses such as use of indocyanine green and closing mesenteric defects. While many techniques of anastomotic creation have adapted with new evidence and technologies, several key principles still provide the foundation for current practice.
回结肠吻合术在开放手术和微创手术中均为外科医生常用的术式,可通过多种不同技术和构型来完成。本文作者回顾了当前的文献以及作者本人在恶性肿瘤、炎症性肠病和结肠惰性情况下进行回结肠吻合术的偏好。作者还回顾了有关吻合术辅助手段的证据,如吲哚菁绿的使用和肠系膜缺损的闭合。虽然许多吻合术创建技术已根据新证据和新技术进行了调整,但一些关键原则仍然是当前实践的基础。