AhChong A K, Chiu K M, Law I C, Chu M K, Yip A W
Department of Surgery, Kwong Wah Hospital, Kowloon, Hong Kong.
Aust N Z J Surg. 1996 Jan;66(1):34-6. doi: 10.1111/j.1445-2197.1996.tb00697.x.
Single-layer intestinal anastomoses have been constructed conventionally using an interrupted suture technique. It is however, increasingly popular to perform such anastomosis using a continuous suture.
One hundred and eighty consecutive patients with 254 continuous single-layer anastomoses performed over a 4 year period were included in the study. Sixty-one patients underwent oesophagectomy, oesophageal bypass or gastrectomy, 32 underwent biliary bypass, hepatic, biliary or pancreatic resection and 88 had colorectal operations. The median age was 67 years.
There were 254 anastomoses of which four leaked (1.6%). Fifteen patients (8.3%) died in hospital.
These results show that the single-layer continuous suture technique is safe in gastrointestinal anastomoses.
单层肠吻合术传统上采用间断缝合技术构建。然而，使用连续缝合进行此类吻合术越来越普遍。
本研究纳入了在4年期间连续进行254例单层连续吻合术的180例患者。61例患者接受了食管切除术、食管旁路术或胃切除术，32例接受了胆肠吻合术、肝脏、胆道或胰腺切除术，88例进行了结直肠手术。中位年龄为67岁。
共进行了254例吻合术，其中4例发生渗漏（1.6%）。15例患者（8.3%）在医院死亡。
这些结果表明，单层连续缝合技术在胃肠道吻合术中是安全的。
