Sannohe Y, Hiratsuka R, Doki K, Inutsuka S, Hirano M
Jpn J Surg. 1979 Dec;9(4):313-21. doi: 10.1007/BF02468631.
Mechanical suturing procedures have been performed in 10 patients for total gastrectomy, 6 for proximal partial gastrectomy and 7 for esophageal transection. The instrument (SPTU all-round type made in Russia) proved simple to use and produced reliable good quality closures without any other inforcement. There was one minor suture leak in 10 patients with intramediastinal esophagojejunostomy and in 6 with proximal partial gastrectomy respectively, but neither leak nor other problem has been arisen in esophageal transection for varices. It is believed that this staple suturing methods used SPTU all-round type apparatus are safe from anastomotic failure and useful for secure intramediastinal anastomosis in high level, and they represent a significant advance in the technique of thoraco-abdominal surgery.
已对10例患者进行了全胃切除术的机械缝合操作，6例进行了近端部分胃切除术，7例进行了食管横断术。该器械（俄罗斯制造的SPTU全方位型）使用简单，能可靠地产生高质量的缝合，无需任何其他加固措施。在10例纵隔内食管空肠吻合术患者和6例近端部分胃切除术患者中分别出现了1例轻微缝线渗漏，但在因静脉曲张进行食管横断术的患者中未出现渗漏或其他问题。据信，使用SPTU全方位型器械的这种吻合钉缝合方法可避免吻合失败，对于高位纵隔内吻合安全可靠，代表了胸腹外科技术的重大进步。
