Kusunoki M, Yanagi H, Shoji Y, Yamamura T
Second Department of Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
Surg Today. 1996;26(12):1033-5. doi: 10.1007/BF00309969.
The use of stapling devices simplifies ileostomy closure; however, the original functional end-to-end anastomotic technique creates intersecting staple lines, generally causing disruption of the anastomosis at the intersections. Therefore, we modified the stapling technique to prevent the two staple lines from crossing. After the everted ileostomy spout is turned back, a stapled side-to-side anastomosis is made. Everting traction sutures are then placed around the ileostomy orifice prior to closure with a linear stapler, thus ensuring that this staple line does not cross the V-shaped staple line of the intestinal anastomosis. This modified technique was employed in the treatment of 20 patients, none of whom developed any signs of anastomotic leakage or intestinal obstruction.
吻合器的使用简化了回肠造口关闭术；然而，最初的功能性端端吻合技术会形成交叉的吻合钉线，通常会导致吻合处在交叉处破裂。因此，我们改进了吻合技术以防止两条吻合钉线交叉。将外翻的回肠造口管翻回后，进行吻合器侧侧吻合。然后在使用直线吻合器关闭之前，在回肠造口孔周围放置外翻牵引缝线，从而确保这条吻合钉线不会与肠吻合的V形吻合钉线交叉。这种改良技术用于治疗20例患者，无一例出现吻合口漏或肠梗阻的迹象。
