Gandet O, Ybert G, Chautard D, Lanson Y
J Urol (Paris). 1986;92(5):301-2.
A further case is reported of urinary tract lithiasis developing around a metallic clip used to suture an ileal fragt during Bricker's operation. Although the calculus developed without provoking complications and was evacuated spontaneously through the stoma, the question is asked, after a literature review, whether it is justified to use mechanical suturing for transintestinal cutaneous anterostomies. The moderate gain in time (15 to 20 min) seems counterbalanced by the increased cost and definite risk (2 to 4%) of lithiasis on metallic clips.
本文报告了另一例在Bricker手术中用于缝合回肠断端的金属夹周围发生尿路结石的病例。尽管结石形成后未引发并发症并通过造口自行排出,但在文献回顾后提出了一个问题,即对于经肠皮肤吻合术使用机械缝合是否合理。时间上适度的缩短(15至20分钟)似乎被金属夹增加的成本和明确的结石形成风险(2%至4%)所抵消。