THE STAPLED FUNCTIONAL END-TO-END ANASTOMOSIS FOLLOWING COLONIC RESECTION

被引：37

作者：

KYZER, S ^{[1
]}

GORDON, PH ^{[1
]}

机构：

[1] SIR MORTIMER B DAVIS JEWISH HOSP,DEPT SURG,3755 COTE ST CATHERINE RD,SUITE G310,MONTREAL H3T 1E2,QUEBEC,CANADA

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1992年 / 7卷 / 03期

关键词：

D O I：

10.1007/BF00360351

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

To determine the results of our experience with the use of staples for construction of anastomoses following colonic resection, a series of 223 anastomoses performed in 205 patients was reviewed. Indications for operation included malignancy, benign neoplasms, inflammatory bowel disease, and several miscellaneous entities. A functional end-to-end anastomosis using the standard GIA cartridge and the TA 55 instruments was performed. The operative mortality was 1.5% with none of the deaths related to the anastomosis. Intraoperative complications encountered included bleeding (21), leak (1), tissue fracture (1), instrument failure (4), and technical error (3). Early postoperative complications related or potentially related to the anastomosis included bleeding (1), pelvic abscess (1), fistula (1), peritonitis (2), ischemia of anastomosis (1). Late complications included five patients with small bowel obstruction, two of whom required operation. Anastomotic recurrences developed in 5.9% of patients. Our experience gained with stapling instruments has shown them to be a reliable method for performing anastomoses in the colon in a safe and expeditious manner.

引用

页码：125 / 131

页数：7

共 16 条

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