Motson R W, Bolwell J S, Heath A L, Makin C A, Al Sawaf H
Ann R Coll Surg Engl. 1984 Jan;66(1):19-21.
Fear of leakage has inhibited many surgeons from performing one-layer anastomosis with a continuous absorbable suture for the outer layer. Ninety-three one-layer colonic anastomoses were performed using polyglycolic acid sutures in 92 patients. Mortality was low (1.1%) and intra-abdominal septic complications occurred in only 4 patients (4.4%). Superficial wound infections occurred in a further 6 patients (6.5%). The mean postoperative hospital stay was 13.2 d with more than 79% being discharged in 15 d.
对渗漏的担忧使得许多外科医生不敢用连续可吸收缝线进行外层的单层吻合术。92例患者共进行了93例使用聚乙醇酸缝线的结肠单层吻合术。死亡率较低(1.1%),仅4例患者(4.4%)发生腹腔内感染并发症。另有6例患者(6.5%)发生浅表伤口感染。术后平均住院时间为13.2天,超过79%的患者在15天内出院。