Hell K, Rossetti M, Allogöwer M
Helv Chir Acta. 1976 Mar;43(1-2):225-32.
A prospective study concerning 100 consecutive cases of colonic resections and anastomosis with single layer sutures is reported where radiological controls 10-12 days postoperatively had been carried out. An anastomotic insufficency was recognized clinically in 15%; in 6% a small leakage was only detectable radiologically. 50% of all anastomotic deficencies were seen in cases with preexisting perforation peritonitis or ileus, especially if an emergency resection had been necessary due to septic complications. 3 out of the 7 deaths were connected with dehiscence in the suture line.
本文报告了一项前瞻性研究,该研究涉及100例连续的结肠切除及单层缝合吻合术病例,并对术后10 - 12天进行了放射学检查。临床上发现吻合口漏的发生率为15%;6%的病例仅通过放射学检查发现有小的渗漏。所有吻合口漏病例中,50%见于术前存在穿孔性腹膜炎或肠梗阻的患者,尤其是因感染性并发症而必须进行急诊切除的患者。7例死亡病例中有3例与缝合线裂开有关。