Forde K A, McLarty A J, Tsai J, Ghalili K, Delany H M
Department of Surgery, College of Physicians and Surgeons, Columbia University, New York, NY 10032.
Ann Surg. 1993 Jan;217(1):78-81. doi: 10.1097/00000658-199301000-00013.
Use of the biofragmentable anastomosis ring (BAR) was attempted in 33 patients at two New York City institutions and employed in 31 instances. Anastomoses performed were end-to-end enterocolic (n = 15), colocolic (n = 15), and side-to-side colocolic (n = 1). Patients ranged in age from 27 to 86 years, with the following diagnoses: primary colon cancer, 15; sessile adenoma, four; colostomy, five; diverticulosis, two; metastatic cancer with obstruction, multiple polyposis, perforated appendiceal mass, malignant carcinoid of appendix, intussuscepting right colon mass, one each. In two instances use of the device was aborted because of concern with the blood supply to the bowel wall in one and tissue edema in another. The average duration of postoperative ileus was 4.7 days. Two patients were subsequently treated for small bowel obstruction thought unrelated to use of the anastomotic device. There were no deaths and no evidence of stricture.
纽约市两家机构对33例患者尝试使用了生物可降解吻合环（BAR），其中31例使用成功。进行的吻合方式包括端端结肠-结肠吻合（n = 15）、结肠-结肠吻合（n = 15）和侧侧结肠-结肠吻合（n = 1）。患者年龄在27至86岁之间，诊断如下：原发性结肠癌15例；无蒂腺瘤4例；结肠造口术5例；憩室病2例；伴有梗阻的转移性癌、多发性息肉病、穿孔性阑尾肿块、阑尾恶性类癌、套叠性右半结肠肿块各1例。有两例因担心肠壁血供（1例）和组织水肿（另1例）而中止使用该装置。术后肠梗阻的平均持续时间为4.7天。有两名患者随后接受了与吻合装置使用无关的小肠梗阻治疗。无死亡病例，也无狭窄迹象。
