端端吻合器吻合术的转归：38例患者的临床影像学研究

Kissin M W, Cox A G, Wilkins R A, Kark A E

Ann R Coll Surg Engl. 1985 Jan;67(1):20-2.

Despite the widespread use of the EEA stapling device, little is known about the eventual fate of the stapled anastomosis. In a study of 38 stapled colonic anastomoses the staples were found to have passed out rectally in 11 patients (29%) within 6 months of surgery. Staple loss occurred only when the small or medium sized cartridges were used (P less than 0.02). Anastomotic stenosis developed in 5 patients (13.2%) and was also related to the use of the smaller size cartridges. In order to minimise these problems every effort should be made to use the large EEA cartridge.

尽管端端吻合器被广泛使用，但对于吻合器吻合口的最终转归却知之甚少。在一项对38例结肠吻合器吻合术的研究中，发现11例患者（29%）在术后6个月内吻合钉经直肠排出。仅在使用小型或中型钉仓时发生吻合钉脱落（P<0.02）。5例患者（13.2%）发生吻合口狭窄，也与使用较小尺寸的钉仓有关。为了尽量减少这些问题，应尽一切努力使用大型端端吻合器钉仓。