Krivokapić Z, Marković V, Antić S, Popović M, Simić A, Barisić G
Institut za bolesti digestivnog sistema KCS I hirurska klinika za digestivnu hirurgiju, Beograd.
Acta Chir Iugosl. 1994;41(2 Suppl 2):265-7.
In the period between January 1, 1992, and January 1, 1994, on the 3rd Department of the 1st Surgical Clinic, Clinical Center in Belgrade, 116 pt's has been operated due to a rectal carcinoma. In all of these pt's an anterior resection of the rectum and a colorectal stapled anastomosis was performed. Colorectal anastomosis was performed using an American EEA stapler on the different segments of the rectum. Overall, a 30 or 25.86% intraperitoneal anastomosis have been performed, 18 (15.51%) were done on the medium third of the rectum and ultra low anastomosis were performed in 68 pt's (58.63%). In our group there was 6 pt's with the anastomotic leakage and a leakage occurred only in the group of pt's with ultra-low colorectal anastomosis. In three pt's after conservative treatment a spontaneous healing of the anastomosis happened while in the other three pt's an explorative laparatomy with loop ileostomy had to be performed. One patient died during the postoperative treatment. The patient died on the second postoperative day due to a mesenteric thrombosis and gangrene of the intestines.
在1992年1月1日至1994年1月1日期间，在贝尔格莱德临床中心第一外科诊所第三科室，116例患者因直肠癌接受了手术。所有这些患者均进行了直肠前切除术和结直肠吻合器吻合术。使用美国EEA吻合器在直肠的不同节段进行结直肠吻合。总体而言，进行了30例（25.86%）腹膜内吻合，18例（15.51%）在直肠中三分之一处进行，68例（58.63%）患者进行了超低位吻合。我们组中有6例患者发生吻合口漏，且仅在超低位结直肠吻合组中出现漏出。3例患者经保守治疗后吻合口自发愈合，而另外3例患者不得不进行探查性剖腹术并做袢式回肠造口术。1例患者在术后治疗期间死亡。该患者于术后第二天因肠系膜血栓形成和肠坏疽死亡。
