Matheson N A, McIntosh C A, Krukowski Z H
Br J Surg. 1985 Sep;72 Suppl:S104-6. doi: 10.1002/bjs.1800721351.
Results of continuing experience with single layer appositional anastomosis of the large bowel during 8 years (1977-84) were extracted from a prospective computerized audit of all abdominal operations under one consultant. After 204 elective operations mortality rate was 1.5 per cent: there were no deaths from anastomotic leakage. The total incidence of wound infection (including late infections) was 2.0 percent. The median duration of postoperative stay was 9.7 days and the mode 8 days. Three clinical anastomotic leaks (total incidence 1.5 per cent) occurred in 140 patients (2.1 per cent) after elective colorectal anastomoses. A restorative anastomosis was made in 86 per cent of patients with rectal carcinoma 6-12 cm from the anus and in 29 per cent with tumours below 6 cm. The overall incidence of a permanent stoma for rectosigmoid carcinoma was 19 per cent. 'Protective colostomy' and anastomotic drains were not used. The safety and applicability of single layer anastomosis in the rectum are compared with those of stapling.
从一位顾问医生所做的所有腹部手术的前瞻性计算机审计中，提取了8年（1977 - 1984年）间大肠单层对端吻合术的持续经验结果。204例择期手术后的死亡率为1.5%：无吻合口漏导致的死亡。伤口感染（包括晚期感染）的总发生率为2.0%。术后住院时间的中位数为9.7天，众数为8天。140例择期结直肠吻合术后的患者中发生了3例临床吻合口漏（总发生率1.5%）（发生率为2.1%）。距肛门6 - 12 cm的直肠癌患者中，86%进行了保留肛门的吻合术，肿瘤位于6 cm以下的患者中这一比例为29%。直肠乙状结肠癌永久性造口的总体发生率为19%。未使用“保护性结肠造口术”和吻合口引流管。将直肠单层吻合术的安全性和适用性与吻合器吻合术进行了比较。
