Buchmann P, Uhlschmid G, Hollinger A
Helv Chir Acta. 1980 Dec;47(5):645-9.
On the basis of 35 resections of the sigma of low anterior resections of the rectum, the outcome of conventional (13) and EEA stapler (22) anastomoses is analysed. The incidence of clinical or radiological insufficiencies is significantly lower in stapler anastomoses. Technical details important for a successful stapling procedure and the outcome of the anastomosis are discussed. The importance of the control for completeness of the tissue rings after removal of the purse-string suture is stressed. Regarding these technical details stapler anastomoses have proven to facilitate very low anterior rectal resections and to achieve less postoperative complications.
基于35例直肠低位前切除术的乙状结肠切除病例,分析了传统吻合术(13例)和端端吻合器吻合术(22例)的结果。吻合器吻合术的临床或影像学吻合口漏发生率显著更低。讨论了成功进行吻合器吻合术的重要技术细节以及吻合口的结果。强调了移除荷包缝线后检查组织环完整性的重要性。就这些技术细节而言,吻合器吻合术已被证明有助于进行超低位直肠前切除术,并减少术后并发症。