Di Castro A, Biancari F, Brocato R, Adami E A, Truosolo B, Massi G
Department of Emergency Surgery, S. Camillo Hospital, Rome, Italy.
Am J Surg. 1998 Nov;176(5):472-4. doi: 10.1016/s0002-9610(98)00241-4.
The fear of anastomotic complications prevents the spread of the use of the biofragmentable anastomosis ring (BAR) in intestinal surgery.
A total of 453 patients underwent intestinal resection and anastomosis with the BAR.
In all, 514 anastomoses have been carried out, 424 (83%) in elective settings, and 90 (18%) in emergency. Fifty-one patients had multiple anastomoses. Reoperation was performed in 4 patients (1%) who had a complete anastomotic leakage. In 13 patients (3%), anastomotic leakage was partial, and only 1 patient required reoperation. No postoperative intestinal obstruction occurred. Four patients (1%) developed late anastomotic strictures, which have been treated by endoscopic dilation.
The results of our experience and those of other large clinical series definitely confirm the effectiveness of the BAR method, which seems to be a standard, easy, rapid, and safe technique either in elective or emergency surgery.
对吻合口并发症的担忧阻碍了可生物降解吻合环（BAR）在肠道手术中的广泛应用。
共有453例患者接受了使用BAR的肠切除吻合术。
总共进行了514例吻合，424例（83%）为择期手术，90例（18%）为急诊手术。51例患者进行了多次吻合。4例（1%）发生完全吻合口漏的患者接受了再次手术。13例患者（3%）出现部分吻合口漏，仅1例患者需要再次手术。未发生术后肠梗阻。4例患者（1%）出现晚期吻合口狭窄，经内镜扩张治疗。
我们的经验结果以及其他大型临床系列研究的结果明确证实了BAR方法的有效性，该方法在择期或急诊手术中似乎都是一种标准、简便、快速且安全的技术。
