Fasching W, Moritz E
Chirurg. 1980 Oct;51(10):644-50.
In 72 patients, 80 circular stapler anastomoses have been performed in the whole gastrointestinal tract of them, 39 were created by means of the Russian SPTU stapler with a single row of staples and 41 were performed with the American Auto-Suture EEA stapler, which employs a double row of staples. Three patients died because of anastomotic leakage (4.17%) and one myocardial infarction (overall mortality: 5.56%). The use of circular staplers lowers the incidence of anastomotic dehiscence, shortens the operating time and enlarges the operative possibilities, particularly in esophageal and rectal surgery. Since application of these staplers may be difficult, this, like any other surgical technique, must be trained.
在72例患者中，共在其全胃肠道进行了80次圆形吻合器吻合术，其中39次使用俄罗斯SPTU单排吻合器完成，41次使用美国自动缝合EEA双排吻合器完成。3例患者因吻合口漏死亡（4.17%），1例死于心肌梗死（总死亡率：5.56%）。圆形吻合器的使用降低了吻合口裂开的发生率，缩短了手术时间，扩大了手术可能性，尤其是在食管和直肠手术中。由于这些吻合器的应用可能存在困难，因此与任何其他手术技术一样，必须进行培训。
