Rochkind S, Rabau M Y, Goldman G, Bar-Nea L, Wiznitzer T
Department of Neurosurgery, Ichilov Hospital, Tel Aviv, Israel.
Lasers Surg Med. 1988;8(6):579-83. doi: 10.1002/lsm.1900080607.
Intestinal anastomosis was performed in 17 Wistar rats via tissue welding by the low-energy CO2 laser. The postoperative course in the animals studied was uneventful. The integrity of the anastomosis was investigated manometrically, immediately upon completion of the anastomosis as well as 20 days later. Ten additional Wistar rats served as controls in which conventional interrupted one-layer anastomosis was performed. The results show a significant superiority of the intestinal anastomoses that were constructed by means of laser tissue welding. The time to complete the anastomosis was also significantly shorter when laser rather than manual suturing was used. Serial histological examinations for up to 90 days following surgery revealed complete healing and epithelization of the anastomotic site.
通过低能量二氧化碳激光组织焊接技术,对17只Wistar大鼠进行了肠道吻合术。所研究动物的术后过程平稳。在吻合术完成后以及20天后,立即通过测压法研究吻合口的完整性。另外10只Wistar大鼠作为对照组,进行了传统的间断单层吻合术。结果显示,通过激光组织焊接构建的肠道吻合术具有显著优势。使用激光而非手工缝合时,完成吻合的时间也显著缩短。术后长达90天的系列组织学检查显示吻合部位完全愈合且上皮化。