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加压吻合环:一项结直肠吻合新技术 被引量:4

Compression anastomosis ring:a novel technique for colorectal anastomosis
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摘要 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. 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.
出处 《中华胃肠外科杂志》 CAS 北大核心 2010年第5期330-332,共3页 Chinese Journal of Gastrointestinal Surgery
基金 上海市卫生局立项资助科研课题[沪卫科教(2009)28JG0904]
关键词 乙状结肠肿瘤 结直肠吻合 镍钛记忆合金加压吻合环 Sigmoid neoplasms Colorectal anastomosis Compression anastomosis ring
作者简介 蔡三军,Email:lxx1149@163.com 通信作者
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参考文献6

  • 1汪建平.中国直肠癌治疗现状与思考[J].中华胃肠外科杂志,2009,12(3):211-214. 被引量:17
  • 2李心翔,郑成竹,印慨,蔡景理,Rosenthal Raul J.镍钛合金加压吻合技术应用于腹腔镜胃肠吻合的临床研究[J].中华胃肠外科杂志,2008,11(3):228-230. 被引量:8
  • 3Aggarwal R,Darzi A.Compression anastomoses revisited.J Am Coll Surg,2005,201(6):965-971.
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  • 5Nudeiman I,Fuko V,Rubin M,et al.A nickel-titanium memory-shape device for colonic anastomosis in laparoscopic surgery.surg Endosc,2004,18(7):1085-1089.
  • 6Dauaer B,Herbst F.NITI Endoluminal Compression Anastomosis Ring(NITI CAR 27 (R)):A breakthrough in compression anastomoses? Eur Surg,2009,41(3):116-119.

二级参考文献40

共引文献22

同被引文献16

  • 1黄从云,彭淑牖.胃肠道吻合的沿革[J].中华胃肠外科杂志,2005,8(6):545-547. 被引量:17
  • 2Aggarwal R,Darzi A.Compression anastomoses revisited.J Am Coll Surg,2005,201 (6):965-971.
  • 3D' Hoore A,Hompes D,Folkesson J,et al.Circular 'superelastic' compression anastomosis:from the animal lab to clinical practice.Minim Invasive Ther Allied Technol,2008,17(3):172-175.
  • 4Nudelman I,Fuko V,Rubin M,et al.A nickel-titanium memory-shape device for colonic anastomosis in laparoscopic surgery.Surg Endosc,2004,18(7):1085-1089.
  • 5Dauser B,Herbst F.NITI Endoluminal Compression Anastomosis Ring (NITI CAR 27(R)):A breakthrough in compression anastomoses? Eur Surg,2009,41(3):116-119.
  • 6Tulchinsky H,Kashtan H,Rabau M,et al.Evaluation of the NiTi Shape Memory BioDynamix ColonRingTM in colorectal anastomosis:first in human multi-center study.Int J Colorectal Dis,2010,25(12):1453-1458.
  • 7Kaidar-Person O,Rosenthal RJ,Wexner SD,et al.Compression anastomosis:history and clinical considerations.Am J Surg,2008,195(6):818-826.
  • 8Dauser B,Herbst F.NITI Endoluminal Compression Anastomosis Ring (NITI CAR 27(R)):A breakthrough in compression anastomoses? Eur Surg,2009,41(3):116-119.
  • 9D' Hoore A,Hompes D,Folkesson J,et al.Circular 'superelastic' compression anastomosis:from the animal lab to clinical practice.Minim Invasive Ther Allied Technol,2008,17(3):172-175.
  • 10Stewart D,Hunt S,Pierce R,et al.Validation of the NITI Endoluminal Compression Anastomosis Ring (EndoCAR) device and comparison to the traditional circular stapled colorectal anastomosis in a porcine model.Surg Innov,2007,14(4):252-260.

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