Rieger R, Wayand W
2. Chirurgische Abteilung, Allgemein öffentliches Krankenhaus der Stadt Linz.
Chirurg. 1995 Jan;66(1):54-8.
In a consecutive series of 42 pancreatoduodenectomies and 17 distal pancreatectomies we evaluated the applicability of the stapler TA-55 for transecting the pancreas parenchyma. In 90% of Whipple's operations and in 88% of distal pancreatectomies the transection of the pancreas was successfully accomplished by using the TA-55. The two rows of steel staples lead to a uniform closure of the pancreatic tissue and thus provided an excellent precondition for pancreatic stump healing and creation of a pancreaticojejunal anastomosis. Pancreatic fistulas occurred in 3 cases (5%) and were all successfully treated conservatively. Summarizing our experience, the stapler TA-55 can be recommended particularly for the transection of normal and fragile pancreatic tissue.
在连续的42例胰十二指肠切除术和17例胰体尾切除术病例中，我们评估了TA - 55吻合器在横断胰腺实质方面的适用性。在90%的惠普尔手术和88%的胰体尾切除术中，使用TA - 55成功完成了胰腺横断。两排钢制吻合钉使胰腺组织均匀闭合，从而为胰残端愈合和胰空肠吻合创造了良好条件。发生胰瘘3例（5%），均经保守治疗成功治愈。总结我们的经验，TA - 55吻合器尤其适用于正常及脆弱胰腺组织的横断。
