| 摘要 |
Various suturing techniques for bowel anastomosis with different results have
been reported. We report our experience and results using the single-layer inter- rupted 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 single-layer 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 anasto-mosis 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 inci- dence 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. |
