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首页> 外文期刊>Surgical Endoscopy >Combined laparoendoscopic colon resection and anastomosis using the 'no touch technique' and fibrin glue. An experimental study.
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Combined laparoendoscopic colon resection and anastomosis using the 'no touch technique' and fibrin glue. An experimental study.

机译：使用“无接触技术”和纤维蛋白胶将腹腔镜联合结肠切除术和吻合术。实验研究。

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BACKGROUND: Laparoscopic colon anastomosis are technically demanding. A new technique for colon resection and anastomosis using a combined laparoendoscopic approach is presented. METHODS: In 10 pigs, pneumoperitoneum was induced and 5 trocars were placed. A sigmoid segment was isolated; a vein stripper was inserted from the anus, and the head was secured with a tie; the segment was intussuscepted pulling the stripper out; 4 seromuscular sutures were placed at the anastomotic site and fibrin glue was spread all around; an electrical wire loop, introduced via a colonoscope, was used to resect the intussuscepted segment that was removed from the anus. RESULTS: All animals but one survived until sacrifice at 30, 60, 90, and 120 days. Macroscopically, the anastomosis appeared well healed; microscopically, after 90 days, there was a complete restitutio ad integrum of the intestinal wall. CONCLUSIONS: This technique is feasible and quick; it could be used clinically in small tumors not removable endoscopically.
机译：背景：腹腔镜结肠吻合术在技术上要求很高。提出了一种使用腹腔镜联合方法进行结肠切除和吻合的新技术。方法：对10头猪进行气腹，并放置5支套管针。分离出乙状结肠节段。从肛门插入一个剥离器，并用扎带固定头部。该段被夹住，将剥离器拉出;在吻合处放置4根血清肌缝线，并在周围散布纤维蛋白胶。通过结肠镜引入的电线环用于切除从肛门切除的肠套叠段。结果：除一只外，所有动物均存活到30、60、90和120天处死。从宏观上看，吻合术已治愈。显微镜下，在90天后，肠壁完全恢复完整。结论：该技术可行，快速。它可以临床用于无法通过内窥镜切除的小肿瘤。

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