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磁性锚定技术辅助腹腔镜胆囊切除术在猪。

Magnetic anchor technique assisted laparoscopic cholecystectomy in swine.

机构信息

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an, 710061, Shaanxi, China.

National and Local Joint Engineering Research Center of Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

出版信息

Sci Rep. 2023 Mar 24;13(1):4864. doi: 10.1038/s41598-023-32157-8.

Abstract

Magnetic anchor device based on the principle of magnet heteropolar attraction can assist laparoscopic surgery and reduce abdominal wall trauma. This study explored the feasibility of use of our self-designed magnetic anchor device for reduced-port laparoscopic cholecystectomy (LC) through animal experiments. Twelve experimental pigs (15-20 kg) were randomly divided into study group (magnetic anchor technique assisted 2-port LC, n = 6) and control group (conventional 3-port LC, n = 6). Operative time, intraoperative blood loss, and postoperative complications were compared between the two groups. LC was successfully performed in all 12 pigs. There was no significant between-group difference with respect to operative time (study group: 35.83 ± 5.12 min; control group: 34.50 ± 5.13 min, P = 0.662) or intraoperative blood loss (< 50 mL per animal in both groups). In the experimental group, there was no malfunction of the magnetic anchoring device, the use process was smooth, and the tissue traction and surgical field exposure were satisfactory. There were no perioperative complications such as bile duct injury, bile leakage, or bleeding in both groups. We demonstrated the feasibility of use of the self-designed magnetic anchor device in reduced-port LC. The device has important clinical application value.

摘要

基于磁异极相吸原理的磁性锚定装置可辅助腹腔镜手术,减少腹壁创伤。本研究通过动物实验探讨了我们自行设计的磁性锚定装置在减少端口腹腔镜胆囊切除术(LC)中应用的可行性。将 12 只实验猪(15-20kg)随机分为研究组(磁性锚定技术辅助 2 端口 LC,n=6)和对照组(常规 3 端口 LC,n=6)。比较两组的手术时间、术中出血量和术后并发症。12 只猪均成功完成 LC。两组的手术时间(研究组:35.83±5.12min;对照组:34.50±5.13min,P=0.662)或术中出血量(每组动物均<50mL)均无显著差异。在实验组中,磁性锚固装置无故障,使用过程顺利,组织牵引和手术视野暴露满意。两组均无胆管损伤、胆漏或出血等围手术期并发症。我们证明了自行设计的磁性锚定装置在减少端口 LC 中应用的可行性。该装置具有重要的临床应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdcf/10039066/e0f4245bdc5b/41598_2023_32157_Fig1_HTML.jpg

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