生物降解吻合环在腹腔镜右半结肠切除术中的应用.pdfVIP

蝤压窆E整盘壶垫!!生!!旦筮!!鲞筮!!塑』￡丛坠强，旦竺!坐!垫!!。!!!：!!：丛!：!! ·823· ·论著· 生物降解吻合环在腹腔镜右半结肠 切除术中的应用 刘岗 黄建平 [摘要] 目的探讨牛物降解吻合环在腹腔镜右半结肠切除术中的应用价值。方法将生 物降解吻合环应用于40例腹腔镜右半结肠切除术中，其中手术的消化道重建使用腹腔外吻合环回 结肠端端吻合法。结果所有患者手术均获成功，术后未发牛吻合口瘘、吻合口出血和狭窄。吻合 环均在四周内排出体外。术后半年肠镜检查，2例发生吻合口炎症，半年后随访消失。结论在腹 腔镜右半结肠切除术中使用生物降解吻合环具有简便、快捷、安全的优点，可在临床上推广使用。 [关键词]吻合环； 腹腔镜； 右半结肠切除术 [中图分类号]R656．9[文献标识码】A [DOI】10．3969／j．issn．1005-6483．2011．12．010 Clinical of anastomosisfor LIU biodegradablering laparoscopicrighthemicolectomy application General to 仇增，HUANGJian-ping．(Departmentof Surgery，ShanghaiShuguangHospitalAffiliated Traditional 200021，China) ShanghaiUniversityof Medicine，Shanghai To the valueof anastomosis [Abstract]Objectivestudy applicationbiodegradablering(BAR) for The dataof40 underwent right clinical patients laparoscopic lapaloscopichemicolectomy．Methods was inthe inour end—to—endanastomosis withBAR righthemicolectomyhospital．1leocolonic performed reconstructionof canaloutsideabdominal All40c目kse8were Success- alimentary cavity．R嚣uIts operated wasnostoma orstrictureafter BARsale within4 fully．There fistula，bleeding surgeries．All discharged was in2casesafterhalfa infollow weeks．Stomainflammationfound byenteroscopy year．anddisappeared afteranotherhalfa The ofBARfor —up year．Conclusionapplication lapaloscopicrighthemicolectomy in is andsafe．Itcanhe usedclinical simple，quick widely practice． anastomosis words] rig