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目的对双直线切割缝合器和管状吻合器两种吻合方法在右半结肠切除术中的应用价值进行对比研究。方法选取148例河南省人民医院右半结肠癌根治术病例,其中91例用双直线切割缝合器吻合,57例用管状吻合器吻合,对两者在吻合时间,术后首次肛门排气时间及术后并发症方面进行比较。结果双直线切割缝合器组吻合时间较短,为(14±3.2)min,两组间有统计学差异(P<0.05),术后首次排气时间和术后并发症在两组间比较无统计学差异(P>0.05)。结论两种器械吻合方法均安全,可靠,利用双直线切割缝合器有利于节约吻合时间。
Objective To compare the value of two anastomosis methods of double linear incision suture and tubular stapler in right hemilaminectomy. Methods A total of 148 patients with right colon cancer undergoing radical operation in Henan Provincial People’s Hospital were enrolled. Among them, 91 cases were anastomosed with double linear incision suture and 57 cases were fitted with tubular stapler. The time of anastomosis, Postoperative complications were compared. Results The bi-linear suture group had a shorter anastomosis time (14 ± 3.2) min, with significant difference between the two groups (P <0.05). The time of postoperative first extubation and postoperative complication were no significant difference between the two groups Statistical difference (P> 0.05). Conclusion Both methods of device anastomosis are safe and reliable. The use of double linear suture stapler is helpful to save the anastomosis time.