Hansen O, Schwenk W, Hucke H P, Stock W
Department of Surgery, Marien-Hospital Dusseldorf, Dusseldorf, Germany.
Dis Colon Rectum. 1996 Jan;39(1):30-6. doi: 10.1007/BF02048265.
Stapled anastomoses are currently an established technique in colorectal surgery. Larger series about the use of circular staplers in rectal anastomoses within daily clinical routine are rare.
We evaluated the morbidity, clinical leakage rate, and mortality in an unselected population of a teaching hospital after elective, left-sided colorectal resections with stapled rectal anastomoses. In the course of our study, manually sewn rectal anastomoses were not performed. All anastomoses were tested intraoperatively by instillation of liquid.
A total of 615 elective colorectal resections with stapled rectal anastomoses was performed by 18 surgeons from 1984 to 1993. A protective colostomy was created in 2.9 percent (n=16) of all patients. Clinical anastomotic leakage occurred in nine patients (1.5 percent). The mortality rate was 1 percent (n=6).
Use of the stapling technique facilitates the performance of anastomoses, particularly in regions with difficult anatomy. The rate of local complications is low, and protective colostomy can thus be dispensed with in most cases
吻合器吻合术目前是结直肠手术中的一项成熟技术。关于在日常临床实践中使用圆形吻合器进行直肠吻合的大型系列研究很少。
我们评估了一家教学医院中，在进行择期左侧结直肠切除并使用吻合器进行直肠吻合后，未经挑选的人群的发病率、临床吻合口漏发生率和死亡率。在我们的研究过程中，未进行手工缝合的直肠吻合。所有吻合口均在术中通过注入液体进行测试。
1984年至1993年间，18位外科医生共进行了615例择期结直肠切除并使用吻合器进行直肠吻合。所有患者中有2.9%（n = 16）进行了保护性结肠造口术。9例患者（1.5%）发生临床吻合口漏。死亡率为1%（n = 6）。
使用吻合技术有助于进行吻合，尤其是在解剖结构复杂的区域。局部并发症发生率低，因此在大多数情况下可以无需进行保护性结肠造口术。
