摘要
目的探讨直线型切割吻合器在右半结肠切除术中的应用。方法结肠癌患者行右半结肠切除术时应用直线型切割缝合器(安得55)行侧侧吻合术为治疗组;应用常规回肠-结肠端端吻合术为对照组。统计两组间患者手术时间、术中出血量、吻合口瘘、肠梗阻及吻合口狭窄例数、肠功能恢复时间、术后12d内排便次数的差异。应用Ficher's精确概率检验及t检验比较两组数据。结果治疗组的手术时间、术中出血量、术后12d内排便次数较对照组明显减少(P<0.05);而术后吻合口瘘、肠梗阻、吻合口狭窄、肠功能恢复时间治疗组虽有减少但两组无显著性差别(P>0.05)。结论右半结肠切除中应用直线型切割缝合器行侧侧吻合术有较好的应用价值。
Objective To determine the application of linear cutting stapler in fight hemicolectomy. Methods In the treatment group, side-to-side anastomosis was constructed by using a linear cutting stapler （Advant 55 ） after fight hemicolectomy. Conventional ileum-colon anastomosis was made in the control group. Data included operation time, blood loss, anastomotic leakage, intestinal obstruction, anastomotic stenosis, intestinal function recovery time, and defecation frequency 12 days after operation. Differences were evaluated with Ficherg exact test and Student＇s t test. Results In the treatment group, operative time, blood loss and defecation frequency 12 days after operation were all less than those in the control group （P 〈0.05 ）. The morbidity of postoperative anastomotic leakage, bowel obstruction, anastomotic stenosis, intestinal function recovery time reduced in the treatment group; however, the differences were not significant （ P 〉 0. 05 ） Conclusion The application of linear cutting stapling in side-to-side anastomosis following right hemicolectomy is feasible and effective.
出处
《中华普外科手术学杂志（电子版）》
2010年第3期38-39,共2页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
