Jacobs G, Ulrich B
Langenbecks Arch Chir. 1981;355:465-9. doi: 10.1007/BF01286892.
Sutures, blind closures, and anstomoses can be performed on the stomach and the small bowel with LDS, GIA, TA, and EEA staplers. The advantage of using these devices is a fast, clean operation, with safety comparable to the conventional technique. Leakage in sutures and anastomoses occur in 1% and after duodenal closure in 2.6%. Bleeding has been observed with the GIA and LDS staplers (0.7%-1%). Mortality is equal to the conventional technique. The time saved during operations and fewer infections justify the elevated costs of the stapling devices.
使用直线切割吻合器(LDS)、胃肠吻合器(GIA)、端端吻合器(TA)和端端吻合器(EEA)可以对胃和小肠进行缝合、盲法闭合及吻合。使用这些器械的优点是手术快速、干净,安全性与传统技术相当。缝合和吻合处的漏发生率为1%,十二指肠闭合后为2.6%。使用GIA和LDS吻合器时观察到有出血情况(0.7%-1%)。死亡率与传统技术相同。手术中节省的时间和较少的感染使得吻合器械成本的增加是合理的。