Stapled haemorrhoidopexy: a consensus position paper by an international working party - indications, contra-indications and technique.
Stapled haemorrhoidopexy: a consensus position paper by an international working party - indications, contra-indications and technique.
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DOI：
10.1046/j.1463-1318.2003.00483.x
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发表时间：
2003-07-01
期刊：
影响因子：
--
通讯作者：
Longo, A
中科院分区：
文献类型：
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作者：
Corman, M L;Gravie, J-F;Longo, A
召开了一个国际工作组会议，该工作组在使用环形吻合器进行替代内痔手术方面有经验，目的是就实施这一手术的标准达成共识。议程包括：第一，命名手术；第二，手术的适应症和禁忌症；第三，首选的手术技术。对于计划开始这项手术的个人，建议包括：必须有肛门直肠手术经验和对肛门直肠解剖的了解；必须有环形吻合器的经验；外科医生必须参加正式课程，其中应包括讲座、视频、器械在模型中的应用以及由同行认可的外科医生进行的手术观察-最终在有经验的外科医生的监督下进行手术。在令人满意地完成上述工作后，应由个人的外科部门确定独立的责任。
An international working party with experience in the performance of an alternative haemorrhoid operation through the use of the circular stapler was convened for the purpose of developing a consensus as to the criteria for undertaking this procedure. The agenda consisted of first, naming the operation; second, the indications and contra-indications for its performance; and third, the preferred surgical technique. Among the recommendations for individuals who plan to embark on this surgery are that experience with anorectal surgery and an understanding of anorectal anatomy are requisites; experience with circular stapling devices is essential; and the surgeon must attend a formal course which should include lectures, videos, the application of the instrument in models, and observation of the operation as performed by a surgeon recognized by his or her peers-leading ultimately to undertaking the procedure while being observed by an experienced surgeon. Following satisfactory completion of the above, independent responsibility should be determined by an individual's department of surgery.