Klaiber C, Wagner M, Metzger A
Chirurgische Abteilung, Universität Bern, Switzerland.
Surg Laparosc Endosc. 1994 Jun;4(3):205-9.
The applicability and safety of a new operative technique for laparoscopic appendectomy using an automatic stapling device, the Multifire Endo-GIA 30, was evaluated. This instrument, which can be passed through a 12-mm trocar sleeve, compresses the appendix as well as the resting stump, occluding its lumen with three lines of titanium staples and cutting between them. Data from 40 laparoscopic appendectomy patients collected between August 1991 and March 1992 were analyzed prospectively. Using this stapler, the mean operation time was 58.33 min (range, 35-95 min), with no complications or mortality. In 35 cases, an acute, and in one case, a chronic, appendicitis was histologically confirmed; in four cases no inflammation was detected. Our preliminary results suggest that this new stapling device offers a simple and safe method for use in laparoscopic appendectomy.
对一种使用自动吻合器（Multifire Endo - GIA 30）进行腹腔镜阑尾切除术的新手术技术的适用性和安全性进行了评估。该器械可通过12毫米套管针鞘置入，能压缩阑尾及其残端，用三排钛钉封闭管腔并在其间切割。对1991年8月至1992年3月收集的40例腹腔镜阑尾切除术患者的数据进行了前瞻性分析。使用这种吻合器，平均手术时间为58.33分钟（范围为35 - 95分钟），无并发症或死亡病例。组织学证实35例为急性阑尾炎，1例为慢性阑尾炎；4例未检测到炎症。我们的初步结果表明，这种新型吻合器为腹腔镜阑尾切除术提供了一种简单且安全的方法。
