Wale R J, Royston C M
Ann R Coll Surg Engl. 1985 Sep;67(5):288-9.
The use of a double stapling technique in anterior resection of the rectum eliminates the necessity for a rectal stump pursestring and removes the problem of tissue pouting on the spindle of the circular EEA stapler when a voluminous rectum is pulled onto it with the pursestring. We have used this technique in 20 patients with tumours in the middle and lower thirds of the rectum without complication. This technique may reduce contamination in the pelvis and certainly shortens operating time. Cost effectiveness of the technique should be evaluated in busy centres where the benefit would appear to be greatest.
在直肠前切除术中使用双吻合器技术，无需进行直肠残端荷包缝合，并且当用荷包缝合将大量直肠牵拉到圆形端端吻合器的钉砧上时，可消除组织在钉砧上外翻的问题。我们已将该技术应用于20例直肠中下段肿瘤患者，未出现并发症。该技术可能会减少盆腔污染，且肯定能缩短手术时间。在繁忙的中心，该技术的成本效益应得到评估，因为在这些中心其益处似乎最大。
