Kopelman Doron, Hatoum Ossama A, Kimmel Boaz, Monassevitch Leonid, Nir Yael, Lelcuk Shlomo, Rabau Micha, Szold Amir
Department of Surgery B', HaEmek Medical Center, Afula, Israel.
Expert Rev Med Devices. 2007 Nov;4(6):821-8. doi: 10.1586/17434440.4.6.821.
The creation of anastomoses between various parts of the GI tract is a major task in the daily practice of oncological, reconstructive and transplant surgery. The most widely used anastomosing techniques today involve the use of sutures or metal titanium staples. Both techniques involve foreign material penetrating the tissue and evoking localized inflammatory response, tissue injury and breaking of mucosal barriers that may facilitate bacterial growth within the anastomotic line, increasing the propensity to anastomotic-related morbidity. Different types of compression devices were successfully used clinically in the past. The history and evolving characteristics of this technology is reviewed. Nitinol-based solutions for the creation of compression anastomosis are evaluated as a possible potential for revolutionary impact on the current surgical methods and anastomosing technology in the alimentary tract and beyond.
在肿瘤、重建和移植手术的日常实践中，在胃肠道各部分之间建立吻合术是一项主要任务。当今使用最广泛的吻合技术涉及使用缝线或金属钛钉。这两种技术都涉及异物穿透组织并引发局部炎症反应、组织损伤以及黏膜屏障的破坏，这可能会促进吻合口内细菌生长，增加吻合口相关并发症的发生率。过去，不同类型的压迫装置已成功应用于临床。本文回顾了该技术的历史和发展特点。评估了基于镍钛诺的压迫吻合术解决方案对当前消化道及其他领域的手术方法和吻合技术产生革命性影响的潜在可能性。
