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Technical feasibility of laparoscopic Finney pyloroplasty examined in a canine model

机译:在犬模型中检查腹腔镜Finney肾盂成形术的技术可行性

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摘要

The efficacy of laparoscopic surgery in the treatment of chronic duodenal ulcer has been demonstrated using minimally invasive approaches. This study aimed to evaluate the technical feasibility of laparoscopic Finney pyloroplasty in six dogs. Under laparoscopic guidance, the anastomosis was created using mechanical devices (n = 3) and combining a linear stapler device and intracorporeal suturing (n = 3). The operative time and complications were recorded. Evaluation of the anastomosis included studies of intraoperative and postoperative endoscopy and ultrasonography as well as the complete gastric emptying time. The animals were killed 4 weeks after surgery. Measurement of luminal diameter, amount of adhesion formation, degree of healing, and inflammation or fibrosis were evaluated in the postmortem studies. The operation was successfully completed for all the animals. No intraoperative or postoperative complications were observed. Gastric emptying was significantly enhanced in the postoperative period, as compared with the preoperative results. After 1 month, there was no evidence of anastomotic leak dehiscence at the gastroduodenal anastomosis. Luminal diameter was increased, and no abnormal findings were encountered during the postmortem abdominal exploration. The technical feasibility of performing a safe laparoscopic pyloroplasty in a dog model was demonstrated in this study.
机译:腹腔镜手术治疗慢性十二指肠溃疡的疗效已通过微创方法证实。这项研究旨在评估腹腔镜Finney肾盂成形术在六只狗中的技术可行性。在腹腔镜引导下,使用机械装置(n = 3)并结合线性吻合器装置和体内缝合(n = 3)来产生吻合。记录手术时间和并发症。吻合的评估包括术中和术后内窥镜检查和超声检查以及胃排空的完整时间。手术后4周将动物处死。在死后研究中评估了腔直径,粘连形成量,愈合程度以及炎症或纤维化的测量。对所有动物的手术均已成功完成。没有观察到术中或术后并发症。与术前相比,术后胃排空明显增强。 1个月后,没有证据表明胃十二指肠吻合口吻合口裂开裂。尸体腹部探查期间,管腔直径增大,未见异常发现。这项研究证明了在狗模型中进行安全的腹腔镜肾盂成形术的技术可行性。

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  • 来源
    《Surgical Endoscopy》 |2007年第1期|136-139|共4页
  • 作者单位

    Department of Laparoscopic Surgery Minimally Invasive Surgery Centre Avda. Universidad s 10071 Cáceres Spain;

    Department of Laparoscopic Surgery Minimally Invasive Surgery Centre Avda. Universidad s 10071 Cáceres Spain;

    Department of Laparoscopic Surgery Minimally Invasive Surgery Centre Avda. Universidad s 10071 Cáceres Spain;

    Department of Laparoscopic Surgery Minimally Invasive Surgery Centre Avda. Universidad s 10071 Cáceres Spain;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Dogs; Feasibility study; Finney pyloroplasty; Laparoscopic surgery; Laparoscopy;

    机译:狗;可行性研究;芬尼肾盂成形术;腹腔镜手术;腹腔镜;

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