Flyger H L, Håkansson T U, Jensen L P
Department of Surgery, Hillerød Hospital, Denmark.
Eur J Surg. 1995 Dec;161(12):911-3.
To report our experience with a single layer continuous absorbable monofilament polyglyconate suture technique in colonic anastomosis.
Retrospective study.
Teaching hospital, Denmark.
105 consecutive patients operated on electively during the period January 1987-June 1990.
Single layer continuous monofilament polyglyconate end-to-end anastomosis.
Clinical signs of anastomotic leak and stricture, wound infections, and duration of hospital stay postoperatively.
Of the 105 patients in the study, 1 developed an anastomotic leak (1%, 95% confidence interval 0 to 5.2%). Median duration of hospital stay was 8 days (range 4-72) and wound infections were recorded in 7 patients (7%, 95% confidence interval 2.7 to 13.2%). None of the patients had symptoms of anastomotic stricture at follow-up (median 19 months, range 2-48).
Single layered continuous colonic anastomosis with an absorbable monofilament suture is a safe technique, easily learned even by relatively inexperienced surgeons and less expensive than other methods.
报告我们在结肠吻合术中使用单层连续可吸收单丝聚甘醇酸缝线技术的经验。
回顾性研究。
丹麦的教学医院。
1987年1月至1990年6月期间连续择期手术的105例患者。
单层连续单丝聚甘醇酸端端吻合术。
吻合口漏和狭窄的临床体征、伤口感染以及术后住院时间。
在该研究的105例患者中，1例发生吻合口漏（1%，95%置信区间0至5.2%）。中位住院时间为8天（范围4 - 72天），7例患者出现伤口感染（7%，95%置信区间2.7至13.2%）。随访时（中位时间19个月，范围2 - 48个月），所有患者均无吻合口狭窄症状。
使用可吸收单丝缝线进行单层连续结肠吻合术是一种安全的技术，即使相对缺乏经验的外科医生也能轻松学会，且比其他方法成本更低。
