Lu Hongrui, Xie Qingping
Plastic & Reconstructive Surgery Center, Department of Hand and Reconstructive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, Hangzhou, China.
Surgery Department, Hangzhou Qiushi Hospital, Hangzhou, China.
Gland Surg. 2022 Mar;11(3):556-562. doi: 10.21037/gs-22-113.
To discuss the preparation of a simple and practical animal model for lymphatic anastomosis technology training. At present, there is no widely used animal model for training lymphatic anastomosis.
The neck of chicken is long enough, and there are abundant lymphatic lymph nodes. The caliber of lymphatic vessels in the neck of chicken is similar to the caliber of lymphatic vessels in human limbs, so multi-stage anastomosis practice can be carried out. The lymphatic vessels of chicken are easier to stain and fully exposed, which meets the requirements of lymphatic vein anastomosis model. This model allows for training of end-to-end anastomosis (LVA), end-to-side anastomosis, and lymph node vein anastomosis under microscope to be carried out. In this study, the trainees were divided into six groups, with five animals in each group. After 14-28 days of training, the average training was 21 days. Data were statistically analyzed by SPSS15.
Obvious and clear lymphatic staining could be obtained after animal modeling, and the success rate of dissecting and staining lymphatic vessels under microscope could reach 100%. After training, the trainees could perform the anastomosis of lymphatic vessel and vein and lymph node vein under ultra-microscopic conditions, and the immediate patency rate of the anastomosis of the trainees can reach 80% during the examination.
This animal model can be used for effective lymphatic vein anastomosis training, which is a simple, practical, and effective microscopic lymphatic anastomosis technology training model.
探讨制备一种简单实用的用于淋巴管吻合技术训练的动物模型。目前,尚无广泛应用于训练淋巴管吻合的动物模型。
鸡的颈部足够长,且有丰富的淋巴淋巴结。鸡颈部淋巴管的管径与人肢体淋巴管的管径相似,因此可进行多阶段吻合练习。鸡的淋巴管更容易染色且充分暴露,符合淋巴管静脉吻合模型的要求。该模型可在显微镜下进行端端吻合(LVA)、端侧吻合及淋巴结静脉吻合的训练。本研究将学员分为六组,每组五只动物。经过14 - 28天的训练,平均训练时间为21天。数据采用SPSS15进行统计学分析。
动物建模后可获得明显且清晰的淋巴管染色,显微镜下淋巴管解剖及染色成功率可达100%。训练后,学员能够在超微条件下进行淋巴管与静脉及淋巴结静脉的吻合,检查时学员吻合的即时通畅率可达80%。
该动物模型可用于有效的淋巴管静脉吻合训练,是一种简单、实用且有效的显微淋巴管吻合技术训练模型。