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Effect of Endo-GIA vascular staple size on laparoscopic vessel sealing in a porcine model.

机译:Endo-GIA血管吻合钉大小对猪模型中腹腔镜血管封闭的影响。

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BACKGROUND: Two sizes of endoscopic gastrointestinal anastomosis (Endo-GIA) staples are currently available for vascular control. The purpose of this study was to compare the Endo-GIA 30-2.0 mm with the Endo-GIA 30-2.5 mm vascular staple. METHODS: The renal blood vessels, aorta, and vena cava were divided laparoscopically using the Endo-GIA 30-2.0 and 30-2.5 mm in four pigs, respectively. The arterial and venous segments were harvested en bloc for ex vivo burst pressure studies. RESULTS: Both 2.0-mm and 2.5-mm staples achieved vessel sealing at supraphysiologic mean burst pressures (> or =310 mmHg). There were no statistical differences between mean burst pressures of vessels stapled by 2.0-mm compared to 2.5-mm staples. Both staples sealed arteries up to 17 mm and veins up to 22 mm in diameter. CONCLUSION: Endo-GIA 30-2.0 mm and 30-2.5 mm vascular staples are equivalent in sealing vessels at supraphysiologic mean burst pressures.
机译:背景:两种尺寸的内窥镜胃肠吻合术(Endo-GIA)钉目前可用于血管控制。这项研究的目的是比较Endo-GIA 30-2.0 mm与Endo-GIA 30-2.5 mm血管吻合钉。方法:使用Endo-GIA 30-2.0和30-2.5 mm腹腔镜分别对四头猪的肾血管,主动脉和腔静脉进行分割。整体收获动脉和静脉段用于离体爆破压力研究。结果:2.0毫米和2.5毫米订书钉均在超生理平均爆破压力(>或= 310毫米汞柱)下实现了血管密封。用2.0毫米钉书钉与2.5毫米钉书钉装钉的血管的平均破裂压力之间没有统计学差异。两种吻合钉均密封动脉,最大直径为17毫米,静脉直径最大为22毫米。结论:在超生理平均爆破压力下,Endo-GIA 30-2.0 mm和30-2.5 mm血管吻合钉在密封血管中等效。

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