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題 名 | 結腸直腸吻合術使用EEA型自動吻合器的臨床經驗 |
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作 者 | 王正儀; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 16:1 1983.03[民72.03] |
頁 次 | 頁90-99 |
分類號 | 416.245 |
關鍵詞 | 結腸直腸吻合術; EEA型自動吻合器; |
語 文 | 中文(Chinese) |
中文摘要 | 長庚紀念醫院大腸直腸肛門外科自1981年4月至8月,4個月中使用EEA自動吻合器應用於26個乙狀結腸或直腸癌的病人接受外科前位切除手術(Anterior resection)之後所行的結腸直腸吻合術,並將所得的結果與過去四年85例傳統式手縫吻合術相比較,結果顯示高位吻合例中兩者皆沒有漏隙的病例,而低位吻合例中,使用EEA 吻合器有10%的隙漏而採用傳統式手縫合術有10.3%的漏隙。故EEA自動吻合器具安全性不亞於傳統式手縫合術,同時其他的合併症亦少。對腸子的觸摸操縱比傳統式手縫合術來得少,術後腸蠕動比較快,它操作起來方便,簡單,可以縮短開刀時間,也可補償傳統式手縫合術於低位吻合時所遭遇的困難,所以EEA自動吻合器是一種快速且可靠的外科技術,同時也可以應用於消化道其他吞部位的吻合。 |
英文摘要 | The authors reviewed their experiences with EEA-auto suture stapler in colorectal anastomosis for 26 patients (19 sigmoid cancers and 7 rectal cancers), all the patients received anterior resection. The technique and result in this series were compared to previous series (85 cases including 68 sigmoid cancers and 17 rectal cancers) of conventional hand sewn suture. There was no leak in high anastomosis in both groups, 10% leak was found in low anastomosis with EEA stapler and 10.3 in hand-sewn series. The others complications were compared and showed significant benefits in stapling group. EEA stapling is a time-saving, securely efficient method for colorectal anastomosis and also could partly compensate the difficulty encountered in the low anastomosis by hand sewn. But the general principles of surgery for resection of colon-rectal cancer should be followed no matter what kinds of anastomosis was chosen. |
本系統中英文摘要資訊取自各篇刊載內容。