CAJ | 학술논문

目的评价用一种新型镍钛记忆合金加压吻合环(CAR27)进行结直肠吻合的安全性和有效性.方法 2009年11月12日,采用镍钛记忆合金加压吻合环(CAR27)对1例行直肠高位切除术的乙状结肠癌患者进行结直肠端端吻合.结果本例手术时间42 min,其中吻合时间11 min,术后第1天肛门即排气,术后第2天开始进食.CAR27吻合环于术后第10天随粪便中排出.患者术后随访1个月,无感染、肠梗阻、吻合口狭窄或瘘等并发症发生.结论本例研究初步提示,采用镍钛记忆合金加压吻合环进行结直肠吻合安全、可行.
목적 평개용일충신형얼태기억합금가압문합배(CAR27)진행결직장문합적안전성화유효성.방법 2009년11월12일,채용얼태기억합금가압문합배(CAR27)대1례행직장고위절제술적을상결장암환자진행결직장단단문합.결과 본례수술시간42 min,기중문합시간11 min,술후제1천항문즉배기,술후제2천개시진식.CAR27문합배우술후제10천수분편중배출.환자술후수방1개월,무감염、장경조、문합구협착혹루등병발증발생.결론 본례연구초보제시,채용얼태기억합금가압문합배진행결직장문합안전、가행.
Objective To evaluate the safety and efficacy of a novel nickel-titanium memory alloy compression anastomosis ring (CAR27) for colorectal anastomosis. Methods One sigmoid cancer patient undergone lower anterior resection (LAR) received colorectal anastomosis with CAR27 on November 12,2009.The following parameters were recorded during 4 weeks postoperative follow-up:colorectal anastomotic complication,first post-operation flatus and bowel movement,extrusion of ring device. Results The total operation time was 42 minutes,including 11 minutes for colorectal anastomosis.The patient had flatus at the first day and began feeding at the second day postoperatively.The ring was expelled with stool at the 10 th day postoperatively. Patient didn't have anastomotic complications such as leakage or obstruction during 1 month postoperative follow-up. Conclusion This case study primarily indicates CAR27 is safe and feasible for colorectal anastomosis.