Vaĭsberg D, Mints Ia, Kaufman M, Ben Zeev I
Khirurgiia (Mosk). 1993 Dec(12):39-41.
Anterior resection of carcinoma of the rectum was carried out in 129 patients. Hand-sutured anastomoses were formed in 73 and stapled anastomoses in 56 patients. There were 7 leaks after sutured anastomoses (9.6%) and 2 leaks after stapled anastomoses (3.57%). No late leaks or strictures were encountered in either group. Stapled anastomoses are advantageous for the following reasons: they are standardized; they can be created at a lower level than those formed by hand sutures, thus avoiding abdominoperineal resection in many patients; the incidence of anastomotic leakage is lower; time is saved. The EEA stapler is recommended for routine use in anastomoses of the rectum.
对129例直肠癌患者实施了直肠前切除术。73例患者采用手工缝合吻合，56例患者采用吻合器吻合。手工缝合吻合后有7例发生渗漏（9.6%），吻合器吻合后有2例发生渗漏（3.57%）。两组均未出现晚期渗漏或狭窄。吻合器吻合具有以下优势：操作标准化；可在比手工缝合更低的平面进行，从而避免许多患者接受腹会阴联合切除术；吻合口漏发生率较低；节省时间。推荐使用EEA吻合器常规进行直肠吻合。
