Review of facilitated approaches to vascular anastomosis surgery
Review of facilitated approaches to vascular anastomosis surgery
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DOI：
10.1016/s0003-4975(97)00340-8
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发表时间：
1997-06-01
影响因子：
4.6
通讯作者：
Kon, M
中科院分区：
文献类型：
--
作者：
Werker, PMN;Kon, M
背景资料。人们越来越需要一种更容易、更快、损伤更小、但更可靠的方法来建立血管吻合。这一需求并不新鲜，但随着包括心脏外科在内的各种专业的血管手术朝着微创手术的方向发展，这一需求重新焕发了活力。本文回顾了过去两个世纪发展起来的最重要的设备或方法的代表。进行了彻底的文献搜索。结果：(1)装订和夹持装置；(2)耦合装置；(3)胶水；(4)激光焊接。由于吻合器过于复杂，使用起来过于复杂，因此尚未成为制造吻合术的标准方式。在选定的病例中，夹子在血管手术中具有潜力。有一种易于使用的环销连接系统，特别适合创建端到端的吻合口。理想的胶水还有待开发，现有的激光焊接技术还有待完善。预计未来在于将缝合线或夹子与胶水或激光焊接技术相结合的混合技术。(C)1997年由胸外科医生学会主办。
Background. There is an increasing demand for an easier, quicker, less damaging, but reliable procedure to create a vascular anastomosis. This demand is not new but is revitalized by the movement of vascular procedures in various specialties, including cardiac surgery, toward minimally invasive procedures. This article reviews the most important representatives of devices or methods that have been developed in the last two centuries.Methods. A thorough literature search was performed. The outcome is presented and discussed in four parts: (1) stapling and clipping devices, (2) coupling devices, (3) glues, and (4) laser welding.Results. Stapling devices have not become the standard fashion to create an anastomosis because they are too complicated to use. In selected cases clips have potential in vascular surgery. There is a ring-pin coupling system available that is easy to use and especially suitable for creating an end-to-end anastomosis. The ideal glue is yet to be developed, and the currently available laser welding techniques have to become refined.Conclusions. It is anticipated that the future lies in hybrid techniques that combine sutures or clips with glues or laser-welding techniques. (C) 1997 by The Society of Thoracic Surgeons.