Abstract:

One layer continuous suture with edge sealing in gastrointestinal anastomosis: Experience of 419 cases        WEI Ji-shu，WU Peng-fei，YIN Jie，et al. Pancreas Center，the First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，China
Corresponding author: MIAO Yi, E-mail: miaoyi@njmu.edu.cn
Abstract    Objective    To observe the effect ofone layer continuous suture with edge sealingin gastrointestinal anastomosis. Methods    Clinical data of 419 open pylorus preserving pancreaticoduodenectomy cases that using one layer continuous suture with edge sealing for duodenojejunostomy in the Pancreas Center of the First Affiliated Hospital of Nanjing Medical University from 01/01/2014 to 31/12/2016  were retrospectively analyzed. Time of duodenojejunostomy was recorded in forty randomly selected cases. Results    mortality 7 cases (1.7%). 9 cases(2.1%) undergoing radiology interventional therapy for postoperative hemorrhage, 6 cases(1.4%) reoperation for invalid of interventional therapy. Average time of anastomosis was 4.9（4.5～5.8）min. In this series，there was no postoperative duodeno-jejunum anastomostic complications，namelyhemorrhage，fistula and stenosis. No mortality occurreddue to duodeno-jejunal anastomosisrelatedcomplications. Conclusion    One layercontinuoussuture withedge sealing is a simple and safe methodforgastrointestinal anastomosis.

Key words: edge sealing, one layersuture, gastrointestinal anastomosis

摘要：

目的    观察残端熨烫单层连续吻合技术在消化道重建中的应用效果。方法    回顾性分析2014-01-01至2016-12-31南京医科大学第一附属医院胰腺中心收治的行开放的保留幽门胰十二指肠切除术419例病人的临床资料，十二指肠-空肠重建均采用残端熨烫单层连续端侧吻合。随机抽取不同时间段40例病人，记录十二指肠-空肠吻合时间。结果    手术死亡7例（1.7%）。因术后腹腔出血行介入治疗9例（2.1%），其中6例（1.4%）因介入治疗无效而再手术。十二指肠-空肠吻合时间为4.9（4.5～5.8）min。所有病例术后均未发生十二指肠-空肠吻合口出血、吻合口漏和狭窄。无因十二指肠-空肠吻合口相关并发症引起的死亡病例。结论    残端熨烫单层连续吻合是一种简便快速安全的消化道重建方式。

关键词: 残端熨烫, 单层连续吻合, 消化道重建