Swain Paul, Park Per-Ola, Mills Tim
Royal London Hospital, Whitechapel, London E1, 1BB, UK.
Gastrointest Endosc Clin N Am. 2003 Jan;13(1):75-88. doi: 10.1016/s1052-5157(02)00106-x.
There is, of course, room for improvement. More work is needed to make endoscopic suturing easier, quicker and more reliable. The single most important next goal is to construct a device, which can place multiple stitches without the need to remove the endoscope between each stitch. Devices, which can place two stitches in one go, would be a start. The development of double stitch and multiple stitch devices has been described earlier. The authors are pleased to see two alternative commercial endoscopic sewing devices appear at the last DDW which place two stitches without needing to withdraw the endoscopes--they use a double needle method.
当然，仍有改进的空间。需要做更多工作以使内镜缝合更简便、更快捷且更可靠。接下来最重要的目标是构建一种设备，该设备能够连续缝合多针而无需在每针之间取出内镜。能够一次性缝合两针的设备将是一个开端。双针和多针设备的研发情况前文已有描述。作者很高兴看到在最近的消化疾病周上出现了两种可供选择的商用内镜缝合设备，它们无需撤回内镜就能缝合两针——它们采用了双针方法。
