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磁场在胃肠外科中的应用。

Use of magnets in gastrointestinal surgery.

机构信息

Division of Minimally Invasive, Metabolic and Weight Loss Surgery, Department of Surgery, Duke Health System, Duke University, 407 Crutchfield Street, Durham, NC, 27704, USA.

出版信息

Surg Endosc. 2019 Jun;33(6):1721-1730. doi: 10.1007/s00464-019-06718-w. Epub 2019 Feb 25.

Abstract

BACKGROUND

Laparoscopic and endoscopic surgery has undergone vast progress during the last 2 decades, translating into improved patient outcomes. A prime example of this development is the use of magnetic devices in gastrointestinal surgery. Magnetic devices have been developed and implemented for both laparoscopic and endoscopic surgery, providing alternatives for retraction, anchoring, and compression among other critical surgical steps. The purpose of this review is to explore the use of magnetic devices in gastrointestinal surgery, and describe different magnetic technologies, current applications, and future directions.

METHODS

IRB approval and written consent were not required. In this review of the existing literature, we offer a critical examination at the use of magnets for gastrointestinal surgery currently described. We show the experiences done to date, the benefits in laparoscopic and endoscopic surgery, and additional future implications.

RESULTS

Magnetic devices have been tested in the field of gastrointestinal surgery, both in the contexts of animal and human experimentation. Magnets have been mainly used for retraction, anchoring, mobilization, and anastomosis.

CONCLUSION

Research into the use of magnets in gastrointestinal surgery offers promising results. The integration of these technologies in minimally invasive surgery provides benefits in various procedures. However, more research is needed to continually evaluate their impact and implementation into surgical practice.

摘要

背景

腹腔镜和内镜手术在过去的 20 年中取得了巨大的进展,这转化为患者预后的改善。这一发展的一个主要例子是在胃肠道手术中使用磁性装置。已经开发和实施了用于腹腔镜和内镜手术的磁性装置,为其他关键手术步骤提供了牵引、锚固和压缩等替代方案。本文的目的是探讨磁性装置在胃肠道手术中的应用,并描述不同的磁性技术、当前的应用和未来的方向。

方法

本研究对现有的文献进行了回顾,对目前描述的胃肠道手术中使用磁铁的情况进行了批判性的检查。我们展示了迄今为止的经验、在腹腔镜和内镜手术中的益处,以及其他未来的影响。

结果

磁性装置已经在胃肠道手术领域进行了测试,包括动物和人类实验。磁铁主要用于牵引、锚固、移动和吻合。

结论

磁性装置在胃肠道手术中的应用研究提供了有希望的结果。这些技术在微创手术中的整合为各种手术提供了益处。然而,需要更多的研究来不断评估它们的影响和在手术实践中的实施。

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