Department of Anesthesiology, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200090, China.
Int J Surg. 2013;11(10):1110-3. doi: 10.1016/j.ijsu.2013.09.007. Epub 2013 Oct 2.
Many studies have been conducted on colorectal anastomotic leakage to reduce the incidence of anastomotic leakage. However, how to precisely determine if the bowel can withstand the pressure of a colorectal anastomosis experiment, which is called anastomotic bursting pressure, has not been determined.
A task force developed the experimental animal hollow organ mechanical testing system to provide precise measurement of the maximum pressure that an anastomotic colon can withstand, and to compare it with the commonly used method such as the mercury and air bag pressure manometer in a rat colon rupture pressure test. Forty-five male Sprague-Dawley rats were randomly divided into the manual ball manometry (H) group, the tracing machine manometry pressure gauge head (MP) group, and the experimental animal hollow organ mechanical testing system (ME) group. The rats in each group were subjected to a cut colon rupture pressure test after injecting anesthesia in the tail vein. Colonic end-to-end anastomosis was performed, and the rats were rested for 1 week before anastomotic bursting pressure was determined by one of the three methods.
No differences were observed between the normal colon rupture pressure and colonic anastomotic bursting pressure, which were determined using the three manometry methods. However, several advantages, such as reduction in errors, were identified in the ME group.
Different types of manometry methods can be applied to the normal rat colon, but the colonic anastomotic bursting pressure test using the experimental animal hollow organ mechanical testing system is superior to traditional methods.
许多研究已经针对结直肠吻合口漏进行了研究,以降低吻合口漏的发生率。然而,如何精确确定肠道是否能承受结直肠吻合的压力实验,即吻合口爆裂压力,尚未确定。
一个工作组开发了实验动物空心器官机械测试系统,以提供对吻合结肠所能承受的最大压力的精确测量,并将其与通常使用的方法(如大鼠结肠破裂压力测试中的汞和气囊压力计)进行比较。将 45 只雄性 Sprague-Dawley 大鼠随机分为手动球测压计(H)组、跟踪机测压表头(MP)组和实验动物空心器官机械测试系统(ME)组。每组大鼠在尾静脉麻醉后进行横结肠破裂压力测试。进行结肠端端吻合术,在吻合口爆裂压力测定前,每组大鼠休息 1 周,采用上述三种方法之一进行测定。
三种测压方法测定的正常结肠破裂压力和结肠吻合口爆裂压力无差异。然而,在 ME 组中发现了一些优点,例如减少了误差。
不同类型的测压方法可应用于正常大鼠结肠,但实验动物空心器官机械测试系统的结肠吻合口爆裂压力测试优于传统方法。