University of Chicago, 5841 S Maryland MC 6090, Chicago, Illinois, 60637, USA.
Am J Surg. 2023 Jul;226(1):48-52. doi: 10.1016/j.amjsurg.2023.01.030. Epub 2023 Feb 1.
As next generation stapling devices enter the marketplace with robotic adaptations, tri-staple technology, preloaded reinforcement materials, etc., in this perspective piece we assert that a "refresh" in our understanding of the mechanisms of action of these devices is needed. While much attention has been paid to explain the mechanical features of one device versus another, it seems that little to no attention is being paid to understand how an intestinal anastomosis responds biologically to the variations in their use and design. Here we will review various aspects of gastrointestinal stapling in the context of emerging technology in the field and expose the gaps in knowledge that exist regarding the effect of gastrointestinal stapling on the biology of healing.
随着下一代吻合器与机器人技术、三吻合技术、预装强化材料等结合进入市场，在这篇观点文章中，我们断言需要对这些器械的作用机制有一个“更新”的认识。虽然人们已经注意到解释一种器械与另一种器械的机械特性，但似乎很少有人关注理解肠道吻合术如何对其使用和设计的变化在生物学上做出反应。在这里，我们将在该领域新兴技术的背景下回顾胃肠吻合的各个方面，并揭示在胃肠吻合对愈合生物学的影响方面存在的知识空白。
