Bérard P, Papillon M, Jacquemard R, Labrosse H, Bigay D, Guillemin G
J Chir (Paris). 1981 Feb;118(2):115-9.
50 cases of low colorectal anastomosis (between 3 to 10 cm from the anal verge) are reported. They have been done with the EEA stapling device after resection for rectal or rectosigmoïdal carcinomas. The peroperative incidents (5 cases) and details to prevent them are described. A protective colostomy was done in 10 cases. No leak had been observed. Recurrency and suture line stenosis are discussed. No anal incontinency, even for very low anastomosis had been observed.
报告了50例低位结直肠吻合术(距肛缘3至10厘米)。这些手术是在切除直肠或直肠乙状结肠肿瘤后使用EEA吻合器完成的。描述了术中事件(5例)及其预防细节。10例患者进行了保护性结肠造口术。未观察到吻合口漏。讨论了复发和吻合口狭窄情况。未观察到肛门失禁,即使是非常低位的吻合术也未出现肛门失禁。