Wiest J W, Kestenberg A, Becker J M
Am J Surg. 1986 Apr;151(4):512-4. doi: 10.1016/0002-9610(86)90115-7.
Two techniques are currently available for the creation of low anterior rectal stapled anastomoses. The first technique requires the placement of a pursestring suture at the superior margin of the rectal cuff, which is technically difficult. In the second technique, the rectal cuff is closed with a linear stapler. The circular end-to-end stapler, with the anvil removed, is then passed through an enterotomy in the rectal remnant. We describe an easy and safe method that obviates difficulties during the transanal passage of the stapler and minimizes the risk of injury to the rectum. This method uses an inexpensive and readily available rubber catheter and metal guide.
目前有两种技术可用于创建低位直肠吻合术。第一种技术需要在直肠袖口的上缘放置荷包缝线，这在技术上具有挑战性。第二种技术是用直线吻合器关闭直肠袖口。然后将移除钉砧的圆形端端吻合器通过直肠残端的肠切开处插入。我们描述了一种简便且安全的方法，该方法避免了吻合器经肛门插入过程中的困难，并将直肠损伤风险降至最低。此方法使用了一种价格低廉且易于获得的橡胶导管和金属导丝。
