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Sutureless Intestinal Anastomosis with a Novel Device of Magnetic Compression Anastomosis

查看全文 作  者:Chao Fan Jia Ma Hong-ke Zhang Rui Gao Jian-hui Li Liang Yu Zheng Wu Yi [1]Lv 高影响力作者 机构地区:[1]Department of Hepatobiliary Surgery,the First Affiliated Hospital,Medical School of Xi'an Jiaotong University,Xi'an 710061,China高影响力机构 出  处:《Chinese Medical Sciences Journal》索引2011年第26卷第3期,共8页高影响力期刊 基  金:Support by the National Natural Science Foundation of China (30830099) 摘  要:Objective To explore the feasibility and efficiency of a novel magnetic compression anastomats(MCAs) in intestinal anastomosis.Methods A total of 36 male mongrel canines underwent intestinal anastomosis using traditional hand-sewn(n=18) or a novel MCAs(n=18).We compared the anastomosis time,postoperative complications,bursting strength of anastomoses,gross appearance,and pathology between two groups at each time-point of follow-up.Results The mean anastomosis time with MCAs was significantly less than that with hand-sewn(8.50±1.95 vs.31.1±4.32 minutes,P<0.001).The blood stools and intussusceptions occurred in both groups during follow-up period.Only 1 mongrel canine receiving intestinal anastomosis by MCAs experienced anastomotic leakage.The average bursting pressure of anastomoses obtained from mongrel canines undergoing intestinal anastomosis by MCAs was significantly higher than that by traditional hand-sewn at 1 week's follow-up time(P<0.05).Gross appearance of the anastomoses constructed by MCAs was relatively smoother and flatter.Pathological evalution of anastomoses revealed that general inflammation was greater in hand-sewn anastomoses than magnetic anastomosis.Conclusion The magnetic compression anastomat is a safe and effective device of sutureless intestinal anastomosis in canine models. 关 键 词:肠吻合术 磁压缩 设备 缝线 犬科动物 时间点 爆破强度 爆破压力
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