Training in Microvascular Surgery Using a Chicken Wing Artery
Training in Microvascular Surgery Using a Chicken Wing Artery
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使用鸡翅动脉进行显微血管手术的培训
DOI：
10.1227/01.neu.0000065174.83840.62
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发表时间：
2003
期刊：
影响因子：
4.8
通讯作者：
A. Hino
中科院分区：
文献类型：
--
作者：
A. Hino
微动脉吻合术治疗动脉粥样硬化性闭塞性脑血管病目前尚不多见。然而，少量但重要的程序仍然需要这种技术。当外科医生的临床经验有限时，需要定期练习以保持和提高手术技能。目前的训练系统包括从合成材料（如硅橡胶管）的管道到实验性活动物或尸体的练习。然而，这些方法对于日常练习和排练来说既不方便也不实用。我提出了一个独特的训练练习微动脉吻合术，使用鸡翅动脉。方法从鸡翅膀中提取肱动脉。动脉长5至6厘米，直径约1毫米。在显微镜下，动脉可用于进行端端、端侧或侧侧吻合。注意到几个优点：材料便宜，管理方便，容易获得，并且既不需要维持活体动物的特定设施也不需要麻醉。此外，材料的直径和结构与人体皮质血管相同，使排练与实际手术体验非常相似。结论这项练习不仅对希望学习显微外科技术的年轻外科医生有用，而且对需要保持或提高技能的经验丰富的外科医生也有用。
OBJECTIVEMicroarterial anastomosis is now seldom performed for treatment of atherosclerotic occlusive cerebrovascular disease. However, a small but significant number of procedures still require this technique. When a surgeon’s clinical experience is limited, regular practice is required to maintain and improve surgical skills. The present training system involves passage from suturing of synthetic materials (such as Silastic tubes) to practice with experimental living animals or cadavers. However, these methods are neither convenient nor practical for daily exercises and rehearsals. I present a unique training exercise for microarterial anastomosis, using a chicken wing artery. METHODSA brachial artery can be extracted from a chicken wing. The artery is 5 to 6 cm long and measures approximately 1 mm in diameter. The artery can be used to practice end-to-end, end-to-side, or side-to-side anastomosis under the microscope. RESULTSSeveral advantages are noted: the materials are cheap, convenient to manage, and easy to obtain, and neither specific facilities to maintain living animals nor anesthesia is needed. Moreover, the diameter and structure of the material are identical to those of human cortical vessels, making the rehearsal quite similar to the actual surgical experience. CONCLUSIONThis exercise is useful not only for young surgeons who wish to learn microsurgical techniques but also for more experienced surgeons who need to maintain or improve their skills.