Kuznetsov I S, Slobozhanin M I, Sapranov B N, Chudnova V S, Kiríanov N A, Ivanov L A
Khirurgiia (Mosk). 1994 Jun(6):35-8.
A combined cuff suture was elaborated in the clinic for the formation of a functioning constrictor and prevention of suture incompetence in various anastomoses. The method of its application is discussed and the results of its testing in gastroduodeno- and gastrojejunostomy in animal experiments are shown. The cuff suture was used in the clinic in 129 patients, in operative management of obstruction of the hepaticocholedochus and biliodigestive anastomoses in 77, in formation of constrictor digestive anastomoses after resection of the stomach and gastrectomy in 42 patients, and in cystogastrostomy in one patient with favorable functional outcomes. The functional condition of the stomach which was operated on and biliopancreatic system was studied by modern informative methods. The technique was also used in treatment of a duodenal stump after operations on the stomach in 27 patients and in closure of defects and injuries of hollow organs of the digestive tract and in ileotransversostomy under conditions of peritonitis in 9 patients. Fatal outcomes in 5 patients who underwent operation and postoperative complications in 13 cases were not connected with the operative method.
临床上设计了一种联合袖带缝合术，用于形成有效的缩窄器并防止各种吻合术中缝合处功能不全。文中讨论了其应用方法，并展示了在动物实验中其在胃十二指肠吻合术和胃空肠吻合术中的测试结果。该袖带缝合术在临床上应用于129例患者，其中77例用于肝外胆管梗阻和胆肠吻合术的手术治疗，42例用于胃切除术后缩窄性消化吻合术的形成，1例用于囊肿胃造口术，均取得了良好的功能效果。采用现代信息方法对接受手术的胃以及胆胰系统的功能状况进行了研究。该技术还用于27例胃手术后十二指肠残端的处理、9例腹膜炎情况下消化道中空器官缺损和损伤的闭合以及回肠横结肠吻合术。5例手术患者的死亡结局和13例术后并发症与手术方法无关。
