Boeckx W, De Lorenzi F, van der Hulst R
Department of Plastic Surgery, Hand Surgery and Microsurgery, University Hospital of Maastricht, Maastrict, The Netherlands.
J Reconstr Microsurg. 2002 Jul;18(5):381-6. doi: 10.1055/s-2002-33020.
In this paper the authors present a new type of microvascular anastomosis to overcome two major inconveniences in microsurgery: "flow discrepancy" and vessel size discrepancy between the donor and the recipient vessels. A Y-shaped anastomosis is an end-to-end anastomosis between three vessels: two small ones on one side and a larger vessel on the opposite site. Both arterial and venous anastomoses can be performed in this way. The blood flow can go across the anastomosis in both directions. Hemodynamically, this increases the blood output through the anastomosed vessels. The surgical technique and main clinical applications of the Y anastomosis are described in detail. Indications and advantages are discussed.
在本文中，作者提出了一种新型的微血管吻合术，以克服显微外科手术中的两个主要不便之处：供体血管与受体血管之间的“血流差异”和血管大小差异。Y形吻合术是三根血管之间的端端吻合术：一侧为两根小血管，另一侧为一根较大的血管。动脉和静脉吻合均可通过这种方式进行。血流可以双向通过吻合处。从血流动力学角度来看，这增加了通过吻合血管的血流量。本文详细描述了Y形吻合术的手术技术和主要临床应用，并讨论了其适应症和优点。
