查詢結果分析
來源資料
相關文獻
- Safety of Single-Layer Extramucosal Bowel Anastomosis in Colorectal Surgery--Risk Factor Analysis
- The Amount of External pancreatic Juice Drainage in Pancreaticojejunostomy Insufficiency
- Choledochal Cyst in Infancy: A Follow-up Study
- Randomized Trial of Gastrojejunostomy with Duodenal Partition Versus Antrectomy in Unresectable Periampullary Cancer
- A Follow-up Study of Annular Pancreas in Infants and Children
- 十二指腸乳頭部旁惡性腫瘤以胰十二指腸切除術治療之過去與現在
- 核子醫學腸胃道造影檢查在胃空腸吻合術術後功能性胃竇殘餘偵測之應用--病例報告
- Bile Duct Cancer 25 Years after Choledochoduodenostomy: A Case Report
- CT Finding of Afferent Loop Obstruction by Retroanastomotic Hernia: A Case Report
- Laparoscopic Colectomy for Familial Adenomatous Polyposis
頁籤選單縮合
題 名 | Safety of Single-Layer Extramucosal Bowel Anastomosis in Colorectal Surgery--Risk Factor Analysis=單層黏膜外腸吻合術的安全性 |
---|---|
作 者 | 陳進勛; 范仲維; 王正儀; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:5 民87.09-10 |
頁 次 | 頁288-294 |
分類號 | 416.245 |
關鍵詞 | 單層黏膜; 腸吻合術; Bowel anastomosis; Single layer anastomosis; Colorectal diseases; Anastomotic complications; |
語 文 | 英文(English) |
中文摘要 | 腸道吻合的縫合方法有很多。本篇將報告我們使用單層黏膜外間斷性縫合方法的 結果,並評估其安全性及本技術相關的併發症。 從 1989 到 1995 年,共有257 位病人接 受此種腸道吻合方法。其中包括各種適應症:如大腸直腸癌,人工造廔的關閉,大腸憩室炎 , ..... 等等。也包括急症及非急症的手術。腸吻合相關的併發症包括吻哈漏失,傷口感染, 腸阻塞,及不明原因發燒。腸吻合的漏失率為 0.4(1/257),小腸阻塞 1.6%,不明原因發燒 1.2%, 腸蠕動不全為 2.7%,傷口感染 1.6%。 接受急症手術者,其相關的併發症機率較高 (p<0.05)。術後追蹤,並沒有吻合狹窄的例子。綜上所知,單層黏膜腸吻合術是一既安全又 簡單的方法。 |
英文摘要 | Various suturing techniques for bowel anastomosis with different results have been reported. We report our experience and results using the single-layer interrupted extramucosal suturing technique in various intestinal surgeries, and assess the safety, and risk factors for complications of this technique. We reviewed the records of all 257 patients who underwent intestinal anastomoses using the singlelayer interrupted extramucosal suturing technique in our hospital from 1989 through 1995. the anastomoses were performed for various indications and involved all levels of the colon and small intestine. All patients were followed up for a minimum of 6 months. Anastomosis-related complications included anastomosis leakage(0.4%), wound complication (1.6%), prolonged ileus (2.7%) , obstruction of the small intestine(1.6%) , and unexplained fever (1.2%). There were no deaths due to anastomotic complications, although three patients died of cardiovascular complications. The high-risk group included patients suffering from cancer with obstruction, radiation enteritis, diverticulitis with local abscess, trauma, and small bowel gangrenous change who accounted for a higher incidence of anastomotic complications. The single-layer interrupted extramucosal suturing technique yielded a low anastomotic leak rate, even in the presence of various risk factors, and hence was relatively safe. |
本系統中英文摘要資訊取自各篇刊載內容。