XF消化道缝合器的实验研究和临床应用

THE XF STAPLER FOR ALIMENTARY TRACT CLOSURE: EXPERIMENTAL AND CLINICAL OBSERVATION

本文报道XF消化道缝合器的实验研究与临床应用。实验研究表明,用本缝合器作结肠外翻缝合后15天时,病理检查已有完整的纤维性愈合。1980年9月起,临床应用于消化道缝合43例(76次),除4例(5次)改用手法缝合外,其余均获满意的效果,无缝合口漏,出血或感染等并发症。作者认为,使用本缝合器时,应根据组织厚度,将压紧组织的间距调节到1.0~1.5mm;用本缝合器作消化道外翻缝合是一种安全的手术。

A stapler for alimentary tract closure had been developed in collaboration with Shanghai Sixth Surgical Instruments Factory in March 1980.Experimental studies with this XF stapler revealed complete fibrous healing of everted colonic closures by the 15th postoperative day.From Sept.1980 to Sept.1981,this stapler was used in 43 cases for 76 closures of the alimentary tract.Five stapler closures in 2 cases were reinforced or replaced by suture closure.Postoperative bleeding,leakage or infection did not occur.For proper closure,the alimentary walls should be compressed to 1.0—1.5 mm before stapling,depending on the thickness of tissues.It may be concluded that everting stapler closure of the alimentary tract is a safe procedure.