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新型三排钉消化道吻合器在猪食管胃吻合手术中的应用研究

王强 吴伟敏 张剑平 朱小波 蒋锋 曹志达

重庆医学Issue(34):4166-4167,2.
重庆医学Issue(34):4166-4167,2.DOI:10.3969/j.issn.1671-8348.2013.34.023

新型三排钉消化道吻合器在猪食管胃吻合手术中的应用研究

Application research on new gastrointestinal anastomat with three rows of staples in pig esophagogastrostomy surgery

王强 1吴伟敏 1张剑平 1朱小波 1蒋锋 1曹志达1

作者信息

  • 1. 江苏大学附属武进医院心胸外科,江苏常州 213002
  • 折叠

摘要

Abstract

Objective To research a new type of gastrointestinal anastomat -- anastomosis device with three rows of staples (Pa-tent No .2012200583213) ,and clarify its associated functions through esophagogastric anastomosis operations on pigs ,so that we could provide experiences for its clinical application in future .Methods Compared with domestic anastomat with two rows of sta-ples ,we designed and manufactured a new type of anastomat with three rows of staples and researched its function .Choosing 12 do-mestic pigs ,about 60 kg ,gastroesophageal anastomosis was taken twice with each case by anastomat with three or two rows of sta -ples randomly in sequence .According to the different types of anastomats ,cases were divided into two groups :group A ,used anas-tomat with three rows of staples ,including 12 cases of anastomosis ;group B ,used anastomat with two rows of staples ,including an-other 12 cases of anastomosis .Results Compared with group B ,cases of group A have less bleeding sites (t = 7 .00 ,P < 0 .01) . Without reinforcement and with 0 .5 kg of tension ,fewer of outermost staples exposed(t= 6 .17 ,P< 0 .01) .And the shape of used staples of group A is double circles ,which has bigger mechanical strength than that of group B (t= 6 .57 ,P < 0 .01) .Conclusion The function of anastomat with three rows of staples surpasses that of traditional anastomat with two rows of staples in pig esopha -gogastrostomy surgery .

关键词

缝合锚/胃肠道吻合术/动物实验

Key words

suture anchors/gastroenterostomy/animal experiment

引用本文复制引用

王强,吴伟敏,张剑平,朱小波,蒋锋,曹志达..新型三排钉消化道吻合器在猪食管胃吻合手术中的应用研究[J].重庆医学,2013,(34):4166-4167,2.

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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