Bertram P, Kuth G, Treutner K H, Schumpelick V, Schlöndorff G
Chirurgische Klinik, RWTH Aachen.
Langenbecks Arch Chir. 1994;379(5):294-8. doi: 10.1007/BF00186396.
A new surgical sewing device for continuous sutures of gastrointestinal anastomoses with needle and suture material was used for the first time to construct a latero-lateral enterostomy (functional end-to-end anastomosis) in the small intestine of pigs. In ten animals the course was mainly uneventful during the observation period of 10 days. One animal developed a postoperative anastomotic leakage. In five cases adhesions between the anastomotic region and the small intestine were found on postmortem examination, but there was no evidence of any slight leakage. On the whole, the sewing device operated faultlessly. At present, clinical use seems possible for long sutures, which are time-consuming when sewn manually, but it is still premature. One major disadvantage of the device is its size, which restricts its application to extra-abdominal tasks. Nonetheless, the principle of a mechanical device for running sutures should be investigated further.
一种用于胃肠吻合连续缝合的新型手术缝合装置，带有针和缝合材料，首次用于在猪的小肠中构建侧侧肠造口术（功能性端端吻合）。在10只动物中，在10天的观察期内过程主要平稳。1只动物出现术后吻合口漏。5例在尸检时发现吻合区域与小肠之间有粘连，但无任何轻微渗漏的迹象。总体而言，缝合装置运行无误。目前，对于手工缝合耗时的长缝合线，临床应用似乎可行，但仍为时过早。该装置的一个主要缺点是其尺寸，这限制了它仅适用于腹部外的任务。尽管如此，用于连续缝合的机械装置的原理仍应进一步研究。
