Shahinian T K, Bowen J R, Dorman B A, Soderberg C H, Thompson W R
Am J Surg. 1980 Apr;139(4):549-53. doi: 10.1016/0002-9610(80)90336-0.
The EEA stapling instrument was used to perform 48 anastomoses without operative mortality. One of the 29 colorectal anastomoses developed a leak. Two intraabdominal abscesses were noted, one after an intraperitoneal colocolostomy and one after a colorectal anastomosis. No leaks were demonstrated in the 12 esophageal anastomoses. Minor bleeding that occurred in one of the colorectal anastomoses ceased spontaneously without need for transfusion. One esophageal and one colorectal anastomosis became narrowed postoperatively, but both were corrected with dilatation without further problem. In two of the very low colorectal anastomoses, transient fecal soilage occurred for 4 to 5 months postoperatively. On the basis of our experience, we believe that the EEA instruments has a definite place in gastrointestinal surgery. Its greatest virtue is that it provides a means to perform the heretofore technically difficult and frequently insecure colorectal and esophageal anastomoses with greater facility and security.
使用EEA吻合器械进行了48例吻合术，无手术死亡病例。29例结直肠吻合术中1例发生吻合口漏。发现2例腹腔内脓肿，1例发生于腹膜内结肠结肠吻合术后，1例发生于结直肠吻合术后。12例食管吻合术中未发现吻合口漏。1例结直肠吻合术中出现的少量出血自行停止，无需输血。1例食管吻合术和1例结直肠吻合术术后出现狭窄，但均经扩张纠正，未再出现问题。在2例极低位置的结直肠吻合术中，术后4至5个月出现短暂的粪便污染。根据我们的经验，我们认为EEA器械在胃肠外科手术中具有明确的地位。其最大优点是它提供了一种方法，能够更简便、安全地进行迄今为止技术上困难且常常不安全的结直肠和食管吻合术。
