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中华临床医师杂志(电子版) ›› 2021, Vol. 15 ›› Issue (02) : 113 -117. doi: 10.3877/cma.j.issn.1674-0785.2021.02.006

所属专题: 文献

基础研究

内镜下猪离体大肠黏膜缝合术的实验研究
俞春波1,(), 周长松1, 黄亮1, 严卫忠1, 李东1   
  1. 1. 201805 上海,上海市嘉定区安亭医院普外科
  • 收稿日期:2020-08-24 出版日期:2021-02-15
  • 通信作者: 俞春波
  • 基金资助:
    上海市嘉定区农业和社会事业科研项目(JDKW-2019-W04)

Endoscopic hand-suturing of mucosal defect of ex vivo porcine colon: an experimental study

Chunbo Yu1,(), Changsong Zhou1, Liang Huang1, Weizhong Yan1, Dong Li1   

  1. 1. Department of General Surgery, Anting Hospital, Shanghai 201805, China
  • Received:2020-08-24 Published:2021-02-15
  • Corresponding author: Chunbo Yu
引用本文:

俞春波, 周长松, 黄亮, 严卫忠, 李东. 内镜下猪离体大肠黏膜缝合术的实验研究[J]. 中华临床医师杂志(电子版), 2021, 15(02): 113-117.

Chunbo Yu, Changsong Zhou, Liang Huang, Weizhong Yan, Dong Li. Endoscopic hand-suturing of mucosal defect of ex vivo porcine colon: an experimental study[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(02): 113-117.

目的

设计并评价一套新型缝合器械在猪离体大肠黏膜剥离创面缝合术中应用的可行性。

方法

采用4条健康成年家猪的新鲜大肠,随机分为2组,每组各2条。每条大肠每隔10 cm制作一个直径约3 cm的黏膜剥离创面,共10处。在肠镜下,两组均使用新型缝合器械缝合剥离的创面,记录每处手术完成时间。

结果

全组均完成预定实验。两组手术时间相仿,差异无统计学意义[(19.4±2.5)min vs(19.1±2.3)min,t=0.30,P>0.05]。

结论

肠镜下使用新型缝合器械可缝合黏膜创面,具有进出针便捷、手术时间短、操作方便等优点,器械细节及加工工艺有待进一步改进。

Objective

To design and evaluate the feasibility of a new set of suture instruments in the endoscopic hand-suturing of the mucosal defect of the ex vivo porcine colon.

Methods

Approximately 3 cm colonic mucosal resections were created every 10 cm (10 places in total) in four ex vivo porcine colons divided into two groups randomly (2 ex vivo porcine colons for each) that were closed with an absorbable barbed suture, a through-the-scope needle holder, and vascular forceps, respectively. The procedure time were recorded.

Results

Both groups completed the scheduled operation. The experimental group was similar to the control group in operative time [(19.4±2.5) min vs (19.1±2.3) min, t=0.30, P>0.05].

Conclusion

The new set of suture instruments in the endoscopic hand-suturing of the mucosal defect of the ex vivo porcine colon is feasible, which has the advantages of convenient needle in and out, short operative time, and convenient operation, but the device details and processing technology need further improvement.

图1 一套新型缝合器械。图a为新型持针钳;图b为新型血管钳;图c为带倒刺线的镍钛合金缝合针;图d、e为缝针释放及回收装置,其中,图d为释放装置,图e为回收装置
图2 内镜下猪离体大肠黏膜缝合情况。图a为黏膜剥离创面;图b为释放装置释放缝针;图c为持针钳夹持缝针穿出黏膜;图d为血管钳辅助夹持拔针;图e为完成1针缝合;图f为连续缝合黏膜创面;图g为缝针回勾缝合;图h为收紧缝线,闭合创面;图i为双钳协助,扯断缝线;图j为回收装置取出缝针;图k为缝合完成创面
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