通过深部狭窄手术通道进行颅内动脉缝合的夹结技术——我的做法
Clip-knotting technique for intracranial arterial suturing through deep and narrow surgical corridors-how I do it.
作者信息
Park Jaechan
机构信息
Department of Neurosurgery, Research Center for Neurosurgical Robotic Systems, Kyungpook National University, Daegu, Republic of Korea,
出版信息
Acta Neurochir (Wien). 2015 May;157(5):769-71. doi: 10.1007/s00701-015-2350-7. Epub 2015 Feb 3.
BACKGROUND
One of the most difficult procedures through a deep and narrow surgical corridor is tying a knot following microsuturing, even though microvascular suturing is a fundamental technique for neurovascular surgeons.
METHODS
A novel technique replacing the conventional knot-tying method was devised. The proposed clip-knotting technique uses an aneurysm clip to hold both remaining ends of a thread that is sutured in a running manner.
CONCLUSIONS
The proposed clip-knotting technique can facilitate the microsuturing procedure for intracranial arterial repair in a deep and narrow operative field.
背景
尽管微血管缝合是神经血管外科医生的一项基本技术，但在深部狭窄的手术通道中进行显微缝合后打结是最困难的操作之一。
方法
设计了一种取代传统打结方法的新技术。所提出的夹扣打结技术使用动脉瘤夹夹住以连续方式缝合的线的两个剩余末端。
结论
所提出的夹扣打结技术可便于在深部狭窄的手术视野中进行颅内动脉修复的显微缝合操作。
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