摘要
目的 评价用一种新型镍钛记忆合金加压吻合环(CAR27)进行结直肠吻合的安全性和有效性.方法 2009年11月12日,采用镍钛记忆合金加压吻合环(CAR27)对1例行直肠高位切除术的乙状结肠癌患者进行结直肠端端吻合.结果 本例手术时间42 min,其中吻合时间11 min,术后第1天肛门即排气,术后第2天开始进食.CAR27吻合环于术后第10天随粪便中排出.患者术后随访1个月,无感染、肠梗阻、吻合口狭窄或瘘等并发症发生.结论 本例研究初步提示,采用镍钛记忆合金加压吻合环进行结直肠吻合安全、可行.
Objective To evaluate the safety and efficacy of a novel nickel-titanium memory alloy compression anastomosis ring (CAR27) for colorectal anastomosis. Methods One sigmoid cancer patient undergone lower anterior resection (LAR) received colorectal anastomosis with CAR27 on November 12,2009.The following parameters were recorded during 4 weeks postoperative follow-up:colorectal anastomotic complication,first post-operation flatus and bowel movement,extrusion of ring device. Results The total operation time was 42 minutes,including 11 minutes for colorectal anastomosis.The patient had flatus at the first day and began feeding at the second day postoperatively.The ring was expelled with stool at the 10 th day postoperatively. Patient didn't have anastomotic complications such as leakage or obstruction during 1 month postoperative follow-up. Conclusion This case study primarily indicates CAR27 is safe and feasible for colorectal anastomosis.
出处
《中华胃肠外科杂志》
CAS
北大核心
2010年第5期330-332,共3页
Chinese Journal of Gastrointestinal Surgery
基金
上海市卫生局立项资助科研课题[沪卫科教(2009)28JG0904]
作者简介
蔡三军,Email:lxx1149@163.com 通信作者