Nathanson L K, Shimi S, Cuschieri A
Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, UK.
J R Coll Surg Edinb. 1992 Aug;37(4):215-20.
In a series of acute and chronic experiments conducted in young pigs during a 2-year period, we have evolved a quick knotting technique to start and end a suture line and developed a curved 'Endoski' needle to improve needle passage through the tissues. These have been employed in the construction of cholecystojejunal anastomoses using a semi-closed technique with a single layer (deep seromuscular) of continuous polyglactin sutures. In chronic experiments in pigs, patent well healed bilioenteric anastomoses, which conveyed bile satisfactorily after ligation of the common bile duct, distal to the cystic duct, were achieved. A virtual absence of adhesions in these animals was noted.
在为期两年的一系列针对幼猪的急性和慢性实验中，我们研发出一种快速打结技术来起始和结束缝合线，并研制出一种弯曲的“Endoski”针以改善针穿过组织的情况。这些技术已被用于采用单层（深层浆肌层）连续聚乙醇酸缝线的半闭合技术构建胆囊空肠吻合术。在猪的慢性实验中，成功实现了通畅且愈合良好的胆肠吻合术，在结扎胆总管（胆囊管远端）后，吻合术能令人满意地输送胆汁。注意到这些动物几乎没有粘连情况。
