双向倒刺缝线用于机器人结肠癌手术体内重叠吻合术中闭合普通肠切开术的可行性
The Feasibility of Common Enterotomy Closure Using Bidirectional Barbed Sutures in Intracorporeal Overlap Anastomosis During Robotic Surgery for Colon Cancer.
作者信息
Shibutani Masatsune, Fukuoka Tatsunari, Kasashima Hiroaki, Ozawa Shintaro, Tanda Hideki, Yonemitsu Ken, Seki Yuki, Maeda Kiyoshi
机构信息
Department of Gastroenterological Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
Department of Gastroenterological Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
出版信息
In Vivo. 2025 May-Jun;39(3):1567-1572. doi: 10.21873/invivo.13956.
BACKGROUND/AIM: Although intracorporeal anastomosis in minimally invasive colectomy has many advantages, it requires a longer operative time than extracorporeal anastomosis. For quick and reliable common enterotomy closure, we proposed a new method using bidirectional barbed sutures. The present study evaluated the safety and feasibility of common enterotomy closure using bidirectional barbed sutures in intracorporeal overlap anastomosis during robotic surgery for colon cancer.
PATIENTS AND METHODS
A total of 39 patients who underwent common enterotomy closure using bidirectional barbed sutures in intracorporeal overlap anastomosis during robotic surgery for colon cancer were enrolled in this study.
RESULTS
Although minor infectious complications were observed in a few cases, no anastomotic leakage or stricture was observed.
CONCLUSION
Common enterotomy closure a new method using bidirectional barbed sutures in intracorporeal overlap anastomosis may be a safe and useful procedure, especially in hospitals newly introducing intracorporeal anastomosis.
背景/目的：尽管微创结肠切除术中的体内吻合术有诸多优点，但与体外吻合术相比，其手术时间更长。为了快速可靠地闭合普通肠切开术，我们提出了一种使用双向倒刺缝线的新方法。本研究评估了在机器人辅助结肠癌手术的体内重叠吻合术中，使用双向倒刺缝线闭合普通肠切开术的安全性和可行性。
患者与方法
本研究纳入了39例在机器人辅助结肠癌手术的体内重叠吻合术中使用双向倒刺缝线闭合普通肠切开术的患者。
结果
虽然少数病例出现了轻微感染并发症，但未观察到吻合口漏或狭窄。
结论
在体内重叠吻合术中使用双向倒刺缝线闭合普通肠切开术这一新方法可能是一种安全且有用的术式，尤其是在新开展体内吻合术的医院。
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