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恢复性直肠结肠切除术后回肠袢式造口缝合与吻合器闭合的比较。

Comparison of sutured and stapled closure of loop ileostomy after restorative proctocolectomy.

作者信息

Bain I M, Patel R, Keighley M R

机构信息

Department of Surgery, Queen Elizabeth Hospital, Birmingham.

出版信息

Ann R Coll Surg Engl. 1996 Nov;78(6):555-6.

PMID:8943644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2502870/
Abstract

Twenty consecutive stapled loop ileostomy closures in patients treated by restorative proctocolectomy were compared with the previous 20 sutured loop ileostomy closures in a non-randomised audit. Complications occurred in six of 20 stapled closures compared with seven of 20 sutured closures. Operating time and hospital stay were similar. The additional expense of stapling does not seem justified as complication rates, operating time and hospital stay are similar to sutured closures.

摘要

在一项非随机审计中,对接受直肠结肠切除术后行回肠造口闭合术的患者进行了连续20例吻合器环形回肠造口闭合术,并与之前20例缝合环形回肠造口闭合术进行了比较。20例吻合器闭合术中6例出现并发症,而20例缝合闭合术中7例出现并发症。手术时间和住院时间相似。由于并发症发生率、手术时间和住院时间与缝合闭合术相似,使用吻合器的额外费用似乎并不合理。

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本文引用的文献

1
Temporary loop ileostomy for restorative proctocolectomy.用于恢复性直肠结肠切除术的临时性回肠造口术。
Br J Surg. 1993 May;80(5):628-30. doi: 10.1002/bjs.1800800529.
2
Complications of loop ileostomy.袢式回肠造口术的并发症
Am J Surg. 1987 Jan;153(1):102-7. doi: 10.1016/0002-9610(87)90209-1.
3
Temporary ileostomy for ileal pouch-anal anastomosis. Function and complications.回肠贮袋肛管吻合术的临时回肠造口术。功能与并发症。
Dis Colon Rectum. 1986 May;29(5):300-3. doi: 10.1007/BF02554114.
4
Closure of loop ileostomy after restorative proctocolectomy.全直肠系膜切除术后回肠袢式造口关闭术。
Ann R Coll Surg Engl. 1990 Jul;72(4):263-5.
5
Randomized trial of loop ileostomy in restorative proctocolectomy.回肠造口术在结直肠切除术后恢复性手术中的随机试验。
Br J Surg. 1992 Sep;79(9):903-6. doi: 10.1002/bjs.1800790916.