[Value of circular mechanical colon and rectum anastomosis. Prospective study of 91 patients].
A prospective study was carried out on 91 patients to evaluate colonic and rectal anastomoses constructed with an EEA stapling gun. The concept comprises the following: orthograde lavage, cecal fistula or colostomy, intraoperative sufficiency control of the anastomosis, intraoperative direct measurement of the height of the anastomosis, postoperative X-ray control of the anastomosis using standardized techniques, classification of the cases into three groups according to the height of the anastomosis: 3-5 cm, and over 9 cm. Characterization of the patients was accomplished biostatistically using the Median-Quartil system. Primary hospital letality of 2% was due to heart failure. Imparied wound healing occurred in 11%. Secondary suture dehiscence was roentgenologically identified in a total of 18% of which only 7% showed clinical symptoms. Stenosis was determined by X-ray in 11% with only 1% demonstrating a temporary clinical correlation. For especially low rectal anastomoses at 3-5 cm the EEA stapling gun appears to have a great technical advantage over hand-placed sutures, allowing extension of indications for low anastomoses.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D012002:Rectal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging
Der Wert der zirkulären maschinellen Colon- und Rectumanastomose (EEA). Eine prospektive Studie an 91 Patienten.