Photopulos G J, Delgado G, Fowler W C, Walton L A
Obstet Gynecol. 1979 Oct;54(4):515-8.
The use of automated stapling instruments in 17 patients requiring intestinal surgery following irradiation therapy for gynecologic malignancies has been reviewed. Fifteen of these patients also had other medical problems thought to inhibit optimal anastomotic healing: malnutrition, persistent intraabdominal cancer, uremia, hypoalbuminemia, and recent antineoplastic chemotherapy. Although these conditions severely test a method of intestinal anastomosis, no patient had a complication involving the intestinal anastomosis. The use of these stapling instruments reduced both the operating time and the contamination of the peritoneal surfaces by bowel content, thereby improving the postoperative recovery of these patients. The favorable results and the secure anastomoses justify the continued use of stapling instruments in gynecologic oncology patients with prior irradiation therapy.
回顾了17例因妇科恶性肿瘤接受放射治疗后需要进行肠道手术的患者使用自动吻合器的情况。其中15例患者还存在其他被认为会抑制吻合口最佳愈合的医学问题：营养不良、腹腔内癌症持续存在、尿毒症、低蛋白血症以及近期接受过抗肿瘤化疗。尽管这些情况对肠道吻合方法构成了严峻考验，但没有患者出现涉及肠道吻合的并发症。使用这些吻合器缩短了手术时间，并减少了肠内容物对腹膜表面的污染，从而改善了这些患者的术后恢复情况。良好的结果和可靠的吻合证明了在先前接受过放射治疗的妇科肿瘤患者中继续使用吻合器是合理的。
