Lee William G, Evans Lauren L, Harrison Michael R
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States.
Department of Surgery, University of California San Francisco, San Francisco, CA, United States.
Front Surg. 2023 Oct 24;10:1253728. doi: 10.3389/fsurg.2023.1253728. eCollection 2023.
Since the 1970s, magnetic force has been used to augment modern surgical techniques with the aims of minimizing surgical trauma and optimizing minimally-invasive systems. The majority of current clinical applications for magnetic surgery are largely centered around gastrointestinal uses-such as gastrointestinal or bilioenteric anastomosis creation, stricturoplasty, sphincter augmentation, and the guidance of nasoenteric feeding tubes. However, as the field of magnetic surgery continues to advance, the development and clinical implementation of magnetic devices has expanded to treat a variety of non-gastrointestinal disorders including musculoskeletal (pectus excavatum, scoliosis), respiratory (obstructive sleep apnea), cardiovascular (coronary artery stenosis, end-stage renal disease), and genitourinary (stricture, nephrolithiasis) conditions. The purpose of this review is to discuss the current state of innovative magnetic surgical devices under clinical investigation or commercially available for the treatment of non-gastrointestinal disorders.
自20世纪70年代以来，磁力已被用于改进现代手术技术，目的是将手术创伤降至最低，并优化微创系统。目前磁外科的大多数临床应用主要集中在胃肠道用途，如胃肠道或胆肠吻合术的创建、狭窄成形术、括约肌增强以及鼻肠饲管的引导。然而，随着磁外科领域的不断发展，磁设备的开发和临床应用已扩展到治疗各种非胃肠道疾病，包括肌肉骨骼疾病（漏斗胸、脊柱侧凸）、呼吸系统疾病（阻塞性睡眠呼吸暂停）、心血管疾病（冠状动脉狭窄、终末期肾病）和泌尿生殖系统疾病（狭窄、肾结石）。本综述的目的是讨论目前正在临床研究或已上市的用于治疗非胃肠道疾病的创新磁外科设备的现状。
